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Washington rates for HCPCS 82415

Chloramphenicol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.91 / $27.11 / $69.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.81 / $11.91 / $27.11
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.30 / $29.14 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $11.53 / $21.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.77 / $22.98 / $37.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.77 / $16.50 / $25.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $12.22 / $13.44
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.67 / $13.30 / $27.97
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.67 / $19.01 / $34.84
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $11.40 / $11.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.57 / $20.91 / $34.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $12.67 / $34.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $12.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $5.70 / $6.56