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Washington rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.83 / $4.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $2.04
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $2.13 / $4.38
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $3.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.54
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.20 / $2.64 / $2.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $2.00 / $3.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.88