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Washington rates for HCPCS J7312

Injection, dexamethasone, intravitreal implant, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.07 / $365.35 / $517.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.61 / $225.07 / $752.50
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $313.56 / $1,026.20
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.42 / $204.61 / $236.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.03 / $193.03 / $498.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.61 / $204.61 / $250.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.71 / $205.28 / $225.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.61 / $235.50 / $613.83
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.36 / $314.58 / $559.91
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.36 / $223.01 / $397.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.61 / $246.67 / $457.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.61 / $204.61 / $235.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.92 / $204.61 / $204.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.61 / $204.61 / $204.61