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Washington rates for HCPCS J1335

Injection, ertapenem sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.85 / $44.04 / $913.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $10.85 / $125.35
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.86 / $44.82 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $11.95 / $48.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.30 / $9.30 / $18.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $12.09
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.02 / $10.21 / $18.76
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.62 / $44.82 / $44.82
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $12.68 / $54.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86