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Washington rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.90 / $47.46 / $74.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $39.11 / $43.52
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.51 / $46.39 / $92.78
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.92 / $42.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.54 / $33.99 / $67.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $43.60
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $40.65 / $107.73
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.86 / $42.41 / $74.23
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.35 / $36.88 / $39.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.51 / $35.54 / $75.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54