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Washington rates for HCPCS J9155

Degarelix Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $6.01 / $586.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.62 / $7.46
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.19 / $6.41 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.90 / $1,033.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.28 / $10.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $5.46
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.75 / $4.90 / $11.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $4.84 / $9.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.89 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $5.04 / $13.08
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $6.60 / $11.72
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $5.45 / $9.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $5.12 / $9.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.90 / $5.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $5.34
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.45 / $4.45