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Washington rates for HCPCS J1322

Injection, elosulfase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.82 / $560.25 / $25,290.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $339.55 / $371.23
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.06 / $432.81 / $836.77
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $310.56 / $361.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.20 / $291.20 / $712.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $378.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.79 / $383.50 / $642.04
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.30 / $449.45 / $786.55
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.38 / $318.88 / $341.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.13 / $331.82 / $578.97
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68