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Washington, DC rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $1,575.14 / $2,122.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $848.23 / $1,434.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.85 / $526.85 / $558.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.69 / $474.69 / $558.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $905.14