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Washington rates for HCPCS J1632

Injection Brexanolone 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $75.98 / $178.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.20 / $75.98 / $75.98
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.06 / $106.61 / $206.10
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $89.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $75.98 / $151.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.06 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.29 / $75.98 / $165.11
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.84 / $80.45 / $89.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.06 / $85.28 / $191.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $74.50 / $74.50