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Washington rates for HCPCS J3240

Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,327.96 / $3,853.48 / $7,797.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,351.23 / $3,802.70
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,001.49 / $3,098.76 / $5,990.94
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,184.96 / $2,426.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,996.53 / $1,996.53 / $5,014.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,116.32 / $2,595.48
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,113.23 / $2,641.55 / $6,348.96
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.05 / $3,233.87 / $5,659.28
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,028.89 / $2,243.48 / $2,380.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,001.49 / $2,479.01 / $4,599.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,116.32 / $2,116.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,116.32 / $2,116.32