go back

Washington rates for HCPCS J0770

Colistimethate Sodium Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.37 / $22.78 / $35.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $14.37 / $22.43
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.06 / $18.36 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.19 / $33.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.32 / $12.32 / $23.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $16.02
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.39 / $14.78 / $27.16
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.36 / $27.88 / $27.88
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.93 / $13.99 / $33.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06