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Washington rates for HCPCS J2840

Injection Sebelipase Alfa 1 Mg (Reinstated 01/01/2017). Savacort-50 Up To 50 Mg (Del 03/31/2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.71 / $520.71 / $1,225.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.46 / $520.71 / $520.71
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.71 / $624.85 / $1,303.77
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.71 / $520.71 / $612.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.71 / $1,041.42 / $2,082.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.71 / $520.71 / $520.71
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
$811.70 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.87 / $861.99 / $1,508.49
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.70 / $551.34 / $612.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.71 / $572.78 / $1,077.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.71 / $520.71 / $520.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.50 / $510.50 / $612.60