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Washington, DC rates for HCPCS J1322

Elosulfase Alfa, Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.68 / $865.18 / $1,165.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.80 / $449.13 / $759.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.20 / $291.20 / $308.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.38 / $262.38 / $308.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.89 / $308.68 / $500.30