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Washington rates for HCPCS J9019

Erwinaze Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.15 / $567.86 / $664.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.96 / $411.15 / $567.86
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.83 / $828.90 / $2,136.35
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.15 / $1,838.06 / $2,176.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.15 / $411.15 / $822.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.15 / $411.15 / $411.15
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.75 / $659.98 / $1,409.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.15 / $618.03 / $964.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $70.00 / $80.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.27 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.18 / $427.27 / $978.45
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.45 / $411.14 / $507.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.01 / $534.09 / $828.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.08 / $403.08 / $483.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.08 / $403.08 / $403.08