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Washington rates for HCPCS J1100

Injection, dexamethasone sodium phosphate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $10.95 / $89.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $1.25 / $4.59
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.16 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.11 / $0.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.12
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.12 / $0.27
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.22 / $0.22
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.12 / $0.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09