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Virginia rates for HCPCS J1438

Injection, etanercept, 25 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.08 / $1,135.78 / $2,246.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.08 / $1,040.08 / $1,040.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.71 / $868.71 / $1,399.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.91 / $978.91 / $978.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.08 / $1,040.08 / $1,040.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.08 / $1,040.08 / $1,040.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.27 / $209.65 / $1,223.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.36 / $1,050.14 / $1,584.06
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.00 / $285.00 / $285.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.72 / $1,019.70 / $1,305.22
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.72 / $1,019.70 / $1,305.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.23 / $1,019.70 / $1,223.64