go back

Washington rates for HCPCS J0895

Injection, deferoxamine mesylate, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $18.04 / $265.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.91 / $12.54
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $10.54 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.69 / $15.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.50 / $8.50 / $16.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $11.05
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $11.28 / $18.73
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.54 / $12.90 / $12.90
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.77 / $9.69 / $15.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01