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Washington rates for HCPCS J1447

Injection, tbo-filgrastim, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.56 / $1.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.31 / $0.46
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.60 / $1.23
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.44 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.28 / $0.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.36 / $0.84
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.77 / $1.23
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.46 / $1.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.56 / $1.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $0.87 / $0.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.34