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Washington, DC rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.96 / $1,465.05 / $1,974.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $776.74 / $1,313.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.15 / $480.15 / $508.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.62 / $432.62 / $508.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.15 / $508.96 / $824.91