go back

Washington rates for HCPCS J2916

Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.22 / $39.00 / $313.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.24 / $52.25
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $3.01 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.16 / $4.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $1.91 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.48
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.52 / $6.37
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $4.05 / $4.05
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.29 / $4.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $4.55 / $4.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.42