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Washington rates for HCPCS J0637

Injection Caspofungin Acetate 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.90 / $4.74 / $30.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.90 / $6.33
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.54 / $9.75 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $5.49 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $3.34 / $6.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $3.54 / $4.34
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $3.63 / $11.15
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.96 / $9.75 / $9.75
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.96 / $5.49 / $11.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.54 / $3.54 / $33.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $3.54 / $3.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $3.54 / $3.54