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Washington rates for HCPCS J0390

Injection, chloroquine HCl, up to 250 mg

Facilitymedian $17 · 10th–90th $17$420%20%40%90th$17Professionalmedian $17 · 10th–90th $16$210%50%10th90th$17$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $16.98 / $19.95
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $323.59
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $29.51 / $50.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $323.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89