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Washington rates for HCPCS J0567

Inj., cerliponase alfa 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.58 / $119.58 / $281.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.76 / $119.58 / $119.58
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.98 / $223.86 / $447.72
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.08 / $119.58 / $140.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.08 / $119.58 / $236.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.08 / $230.26 / $351.78
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.43 / $119.73 / $133.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.50 / $119.58 / $233.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $117.24 / $117.24