go back

Washington rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.09 / $26.87 / $39.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $23.09 / $52.11
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $25.19 / $52.79
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.26 / $20.99 / $24.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $19.80 / $40.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $25.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $24.14 / $43.66
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.02 / $34.90 / $61.08
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.67 / $22.91 / $24.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $23.09 / $43.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99