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Washington rates for HCPCS J9037

Injection, belantamab mafodotin-blmf, 0.5 mg

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.96 / $130.97 / $208.65
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.25 / $201.25 / $238.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.28 / $48.89 / $58.58
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.25 / $44.25 / $44.25
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.13 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.10 / $72.44 / $130.97
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.02 / $45.02 / $45.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.45 / $45.45 / $54.54