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Washington rates for HCPCS J1458

Injection, galsulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.97 / $853.91 / $1,051.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $559.63 / $612.66
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.32 / $713.51 / $1,379.44
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $512.37 / $596.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.96 / $479.96 / $969.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $623.95
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.50 / $631.89 / $1,058.22
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.54 / $512.37 / $1,060.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.77 / $526.09 / $563.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.67 / $547.02 / $1,059.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76