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Washington rates for HCPCS J1448

Injection, trilaciclib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.77 / $6.99 / $11.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $6.01 / $6.52
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.20 / $7.92 / $15.31
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.67 / $6.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.37 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $6.70
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.28 / $5.46 / $10.32
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $8.32 / $14.56
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.26 / $5.82 / $6.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.28 / $6.34 / $12.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $6.39