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Washington rates for HCPCS J2425

Injection, palifermin, 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $72.44 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $36.31 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $44.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $37.15 / $67.61
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $38.02 / $77.62
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $38.02 / $41.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $38.90 / $97.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $47.86