go back

Washington rates for HCPCS J0775

Collagenase, Clost Hist Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.20 / $111.47 / $7,251.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.90 / $83.50 / $145.54
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.27 / $103.02 / $199.17
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $98.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.61 / $71.61 / $171.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $93.09
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.16 / $91.45 / $157.88
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.98 / $106.03 / $185.55
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.54 / $76.90 / $91.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.15 / $81.44 / $152.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $75.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $75.91