Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
(Ia) HC Admin Tixagev & Cilgav Inj 12+ W/Mon 300m
Lowell, MA
See all hospitals reporting HCPCS M0220 →Price type
Lowell General Hospital’s median price of $113 is 47% below the median hospital's median price ($212), higher than 8% of the 877 hospitals reporting HCPCS M0220. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 10 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Amerihealth Caritas hb xr non-contracted 35% of billed charges lgh percent of total billed charges · bothfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 2 | First Health hb xr non-contracted 35% of billed charges lgh percent of total billed charges · bothfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 3 | Cigna hb xr cigna lgh percent of total billed charges · bothfrom % of charges | $121 | $121 | — | — | — | $121 – $121 |
| 4 | UnitedHealthcare hb xr hphc self insured referral hmo pos ppo lgh percent of total billed charges · bothfrom % of charges | $125 | $125 | — | — | — | $125 – $125 |
| 5 | UnitedHealthcare hb xr uhc lgh percent of total billed charges · bothfrom % of charges | $198 | $198 | — | — | — | $198 – $198 |
| 6 | MultiPlan hb xr claritev lgh percent of total billed charges · bothfrom % of charges | $201 | $201 | — | — | — | $201 – $201 |
| 7 | Aetna hb xr aetna hmo ppo lgh percent of total billed charges · bothfrom % of charges | $222 | $222 | — | — | — | $222 – $222 |
| 8 | Blue Cross Blue Shield hb xr bcbsma ppo ppa lgh percent of total billed charges · bothfrom % of charges | $227 | $227 | — | — | — | $227 – $227 |
| 9 | Blue Cross Blue Shield hb xr bcbsma hmo lgh percent of total billed charges · bothfrom % of charges | $233 | $233 | — | — | — | $233 – $233 |
| 10 | Medicaid hb xr medicaid limited cmsp 100% percent of total billed charges · bothfrom % of charges | $241 | $241 | — | — | — | $241 – $241 |
Last updated: Apr 1, 2026
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