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Washington rates for HCPCS J1130

Injection, diclofenac sodium, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.25
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $90.00 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.21
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
$0.55 / $0.55 / $0.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25