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Massachusetts rates for HCPCS Q0510

Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.50 / $47.50 / $47.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.50 / $47.50 / $52.67
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $70.00 / $130.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.52 / $29.52 / $29.52
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $83.43 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.50 / $42.50 / $50.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $69.75 / $130.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.50 / $70.00 / $125.80