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Washington rates for HCPCS J0636

Injection Calcitriol 0.1 Mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $1.20 / $2.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.01 / $1.19
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $95.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.19 / $1.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $1.01 / $2.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.01 / $1.01
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
$0.99 / $0.99 / $1.01
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.07 / $1.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99