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Washington rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $30.20 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $17.78 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $16.60 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $21.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $26.30 / $39.81
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $25.12 / $61.66
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $19.95 / $21.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $19.50 / $48.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $22.91