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Washington rates for HCPCS J2793

Rilonacept Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.64 / $27.64 / $65.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.99 / $27.64 / $27.64
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.63 / $42.60 / $80.34
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.64 / $27.64 / $32.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.64 / $27.64 / $92.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.64 / $27.64 / $27.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.64 / $52.60 / $80.34
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.04 / $29.27 / $32.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.63 / $31.95 / $59.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.64 / $27.64 / $27.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.10 / $27.10 / $27.10