go back

Washington rates for HCPCS J1746

Injection, ibalizumab-uiyk, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.65 / $101.45 / $165.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $87.18 / $96.06
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.62 / $92.86 / $180.59
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $81.50 / $91.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.77 / $74.77 / $153.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $97.20
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.26 / $99.08 / $165.13
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.42 / $119.40 / $208.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.68 / $83.69 / $88.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.29 / $87.19 / $154.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.20 / $79.20 / $79.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26