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Washington rates for HCPCS J9261

Injection, nelarabine, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.85 / $129.47 / $250.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $80.66 / $139.97
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.32 / $146.63 / $760.75
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $87.85 / $4,956.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.76 / $75.34 / $181.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $79.86 / $97.94
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.86 / $152.46 / $388.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $152.46 / $328.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.18 / $70.00 / $87.84
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.38 / $82.88 / $197.46
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.15 / $177.57 / $310.75
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.21 / $95.20 / $172.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.31 / $109.98 / $227.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $87.85 / $95.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $79.86 / $95.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.76 / $79.86 / $79.86