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Massachusetts rates for HCPCS Q4074

Iloprost, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, up to 20 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.91 / $158.91 / $158.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $165.27
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.93 / $425.91 / $654.50
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.85 / $158.91 / $229.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.36 / $195.15 / $432.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.91 / $158.91 / $158.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.58 / $158.91 / $189.47
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.91 / $251.09 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $317.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.39 / $654.50 / $654.50
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.57 / $158.91 / $229.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.57 / $158.91 / $238.38