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Washington rates for HCPCS J2507

Injection, pegloticase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,652.12 / $4,959.85 / $7,568.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.82 / $4,026.92 / $7,338.83
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,371.08 / $5,170.59 / $9,996.46
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,750.99 / $4,611.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,453.62 / $3,453.62 / $8,608.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $4,489.70
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,638.86 / $4,548.58 / $10,982.49
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,000.26 / $5,393.72 / $9,439.01
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,483.06 / $3,851.46 / $4,397.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,268.45 / $4,088.40 / $7,674.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,660.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,660.83