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Massachusetts rates for HCPCS Q9991

Injection, buprenorphine extended-release (Sublocade), less than or equal to 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $8,025.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,097.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,842.18 / $2,682.21 / $6,680.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,550.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,163.62 / $2,572.94 / $5,484.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.00 / $2,964.83 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $4,187.70
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,682.21 / $2,682.21 / $10,082.10
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $3,024.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,823.07