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Massachusetts rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,789.46 / $32,282.30 / $46,965.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,390.08 / $23,789.46 / $23,789.46
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,275.64 / $10,331.37 / $121,142.10
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,275.64 / $23,614.52 / $106,352.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,502.57 / $32,650.33 / $63,439.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $24,228.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.00 / $9,239.00 / $38,280.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $27,533.92
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,588.22 / $121,142.10 / $121,142.10
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $24,722.38 / $106,352.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $23,789.46 / $30,210.52