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Washington rates for HCPCS C9047

Injection, caplacizumab-yhdp, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.83 / $794.83 / $1,870.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.12 / $794.83 / $794.83
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.91 / $1,152.33 / $2,381.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.83 / $794.83 / $1,589.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.83 / $794.83 / $794.83
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.33 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$631.85 / $1,100.16 / $1,702.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.91 / $960.28 / $1,710.44