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Washington, DC rates for HCPCS J7170

Injection, emicizumab-kxwh, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $161.94 / $218.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.11 / $81.81 / $138.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.93 / $52.93 / $56.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.69 / $47.69 / $56.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.05 / $56.10 / $90.93