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Washington rates for HCPCS J9340

Injection, thiotepa, 15 mg

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.35 / $747.00 / $2,376.94
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.03 / $2,184.00 / $2,184.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.17 / $277.14 / $318.17
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.07 / $299.07 / $299.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $269.55 / $294.06
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.71 / $591.27 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.08 / $417.00 / $747.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.03 / $343.03 / $747.00