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Washington rates for HCPCS C9293

Injection Glucarpidase 10 Units(Voraxaze)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.98 / $440.98 / $1,037.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.04 / $440.98 / $440.98
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.20 / $1,731.60 / $1,731.60
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,754.69 / $1,754.69 / $2,223.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.98 / $419.98 / $839.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.11 / $1,135.58 / $2,732.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.73 / $257.10 / $743.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.74 / $411.74 / $411.74