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Washington rates for HCPCS J7686

Treprostinil, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 1.74 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.34 / $1,351.61 / $1,664.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $875.70 / $1,080.20
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.66 / $1,191.17 / $3,356.12
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.25 / $800.15 / $948.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.03 / $751.03 / $1,520.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $796.09 / $968.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.27 / $796.09 / $1,504.61
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.66 / $743.66 / $803.18
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.66 / $824.69 / $1,470.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.09 / $796.09 / $946.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $796.09 / $915.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.44 / $796.09 / $796.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $796.09 / $796.09