go back

Washington, DC rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $101.27 / $136.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.54 / $33.54 / $35.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $30.22 / $35.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.35 / $35.54 / $57.62