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Washington, DC rates for HCPCS J2504

Injection, pegademase bovine, 25 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.08 / $354.08 / $354.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.08 / $354.08 / $354.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.24 / $379.24 / $379.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.36 / $357.54 / $579.49