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Washington rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.83 / $310.61 / $730.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.30 / $310.61 / $504.04
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.86 / $346.17 / $665.86
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.76 / $95.76 / $365.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.61 / $453.40 / $963.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.11 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.22 / $313.89 / $532.69
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.37 / $328.88 / $365.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.57 / $276.94 / $669.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.76 / $95.76 / $95.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.30 / $298.30 / $357.96