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Washington rates for HCPCS J1427

Injection, viltolarsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.53 / $57.53 / $135.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.17 / $57.53 / $57.53
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.53 / $70.56 / $134.72
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $57.53 / $67.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.53 / $57.53 / $115.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $57.53 / $57.53
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.81 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.01 / $58.83 / $134.72
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.11 / $60.91 / $67.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.53 / $63.28 / $117.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $57.53 / $57.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $56.40 / $67.68