go back

Washington rates for HCPCS J9215

Injection, interferon, alfa-N3, (human leukocyte derived), 250,000 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.72 / $30.72 / $72.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.91 / $30.72 / $30.72
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.23 / $45.18 / $159.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.74 / $722.89 / $722.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.72 / $30.72 / $122.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.72 / $30.72 / $30.72
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.23 / $25.31 / $45.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.18 / $26.00 / $45.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.60 / $9.46 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.72 / $65.05 / $99.39
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.83 / $30.72 / $37.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.23 / $25.47 / $46.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.93 / $84.93 / $84.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $36.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00