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Washington rates for HCPCS J2469

Injection, palonosetron HCl, 25 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $18.60 / $81.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.39 / $34.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $50.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $95.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.45 / $514.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.53
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $3.03 / $43.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $3.03 / $37.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $70.00 / $80.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.45 / $1.09
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $3.49 / $3.49
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $0.74 / $1.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.40 / $56.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.40 / $0.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.59