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Washington rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $1.26 / $4.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.70 / $1.29
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.82 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.63 / $1.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.60 / $1.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.78
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.78 / $1.50
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $1.54 / $1.54
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.62 / $1.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.76