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Washington rates for HCPCS J2540

Injection, penicillin G potassium, up to 600,000 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $1.83 / $58.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.87 / $1.07
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.12 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $1.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.75 / $1.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.97
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.99 / $2.37
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.52 / $1.52
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.87 / $1.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79