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Washington, DC rates for HCPCS J0207

Injection, amifostine, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.83 / $1,092.83 / $1,092.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.55 / $1,092.83 / $1,092.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.69 / $1,135.69 / $1,135.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.83 / $1,092.83 / $1,092.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.83 / $1,092.83 / $1,226.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.21 / $505.48 / $1,040.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.41 / $1,192.70 / $1,274.98