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Washington rates for HCPCS J2783

Injection, rasburicase, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $660.69 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $389.05 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $380.19 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $467.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $436.52 / $707.95
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $426.58 / $1,023.29
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $398.11 / $436.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $446.68 / $1,071.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $446.68
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $501.19