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Washington rates for HCPCS J9118

Injection, calaspargase pegol-mknl, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.90 / $100.95 / $69,707.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.90 / $99.11
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.29 / $131.18 / $337.90
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $90.29 / $337.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.53 / $77.43 / $82.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $82.07 / $100.66
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.08 / $82.08 / $299.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $138.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $84.18 / $103.31
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.91 / $92.92 / $170.73
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.86 / $131.18 / $200.42
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.86 / $97.46 / $176.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.29 / $114.35 / $152.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $90.29 / $98.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $98.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.53 / $82.08 / $82.08