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Washington rates for HCPCS J0456

Injection, azithromycin, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $4.82 / $76.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.24 / $5.26
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.50 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.31 / $4.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $1.92 / $4.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.65 / $5.43
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $3.49 / $3.49
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.31 / $4.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04