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Washington rates for HCPCS J9201

Injection Gemcitabine Hydrochloride Not Otherwise Specified 200 Mg (Desc Rvsd 1/1/20)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $6.26 / $202.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.41 / $79.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $1,989.19 / $2,529.12
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.46 / $502.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $2.95 / $5.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.84
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $6.61 / $17.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $7.44 / $16.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.27 / $30.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.96 / $3.54 / $8.88
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.32 / $10.62 / $10.62
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.86 / $6.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $3.44 / $6.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.44 / $3.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $3.13 / $3.13