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Washington rates for HCPCS J0945

Injection, brompheniramine maleate, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.78 / $1.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.78 / $0.78
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.51 / $1.09
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $1.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.80 / $3.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.50 / $0.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80