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Washington rates for HCPCS J0223

Injection, givosiran, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.43 / $234.72 / $127,111.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.36 / $129.10 / $141.80
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.29 / $140.61 / $271.23
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.36 / $122.00 / $135.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.72 / $110.72 / $232.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.36 / $117.36 / $143.93
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.19 / $146.49 / $244.11
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.87 / $179.33 / $313.82
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.29 / $125.27 / $135.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.28 / $129.10 / $224.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.36 / $117.36 / $117.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.36 / $117.36 / $117.36