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Washington rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $10.86 / $276.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $5.26 / $6.78
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.78 / $5.25 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.83 / $8.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $4.51 / $10.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $5.87
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.78 / $5.98 / $10.67
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $6.96 / $6.96
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.83 / $8.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78