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Washington rates for HCPCS C9090

Injection, plasminogen, human-tvmh, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.60 / $30.60 / $30.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $30.60 / $30.60
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.82 / $159.00 / $159.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20