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Washington rates for HCPCS J2797

Injection Rolapitant 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.90 / $2.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.90 / $0.90
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $90.00 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.06 / $2.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.90 / $1.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.90
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $1.88 / $4.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.55 / $2.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $1.03 / $2.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $0.92 / $1.10
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.89 / $0.89