Payer comparison · HCPCS J0224 · BOSTON, MA

J0224 — Inj. Lumasiran, 0.5 Mg

What each payer pays BOSTON CHILDREN'S HOSPITAL (CCN 223302) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$211,388 All-payer median here

$281,851 Cash / self-pay here

20 payer/plan-name variants

← This hospital National rates for J0224 →

Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan	Median negotiated	vs all-payer median	Rate rows

MultiPlan / PHCS Network	$263,530	24.7%	28
First Health Network	$259,303	22.7%	14
Humana	$253,666	20.0%	14
Community Health Options	$253,666	20.0%	14
Cigna Healthcare	$243,815	15.3%	34
Interlink Transplant	$239,573	13.3%	14
ETS/LifeTrac	$239,573	13.3%	14
Optum Commercial	$233,936	10.7%	43
Health New England	$227,735	7.7%	14
Fallon Health	$217,279	2.8%	17
Carelon Behavioral Health	$211,388	0.0%	28
Aetna	$202,693	-4.1%	28
MGB/Allways	$191,912	-9.2%	34
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP)	$188,840	-10.7%	28
CARELON BEHAVIORAL HEALTH (MEDICAL BENEFITS)	$183,203	-13.3%	14
Centene	$178,130	-15.7%	14
UnitedHealthcare	$177,566	-16.0%	42
Tufts Health Plan	$173,535	-17.9%	17
Blue Cross Blue Shield Association	$163,558	-22.6%	32
Harvard Pilgrim Health Care	$145,632	-31.1%	29

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.