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Washington rates for HCPCS J1960

Injection, levorphanol tartrate, up to 2 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.38 / $0.38
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $95.00 / $95.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $5.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $3.41 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $4.25 / $4.25