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Washington rates for HCPCS J2680

Injection Fluphenazine Decanoate Up To 25 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.03 / $15.06 / $46.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $8.03 / $15.66
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.31 / $14.20 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $10.21 / $28.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.89 / $6.89 / $17.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $7.30 / $8.96
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.30 / $9.14 / $21.93
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.20 / $24.00 / $24.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.24 / $10.83 / $28.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.31 / $7.31 / $7.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $7.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $7.31