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Washington rates for HCPCS J2720

Injection Protamine Sulfate Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $3.41 / $109.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.92 / $2.56
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.75 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.75 / $3.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.65 / $2.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.14
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.74 / $3.31
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $3.09 / $3.09
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.32 / $3.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75