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Washington rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $55,975.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,390.08 / $23,789.46 / $23,789.46
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,828.16 / $35,275.74 / $121,142.10
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,599.99 / $23,789.46 / $125,944.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,789.46 / $24,228.42 / $50,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,819.16 / $4,523.03 / $66,615.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,416.14 / $3,823.73 / $25,197.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $21,990.55 / $26,988.40
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,611.16 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,545.34 / $35,984.03 / $63,918.85
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,550.45 / $23,789.46 / $29,386.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,517.16 / $28,112.53 / $52,360.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,599.99 / $23,789.46 / $23,789.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $23,323.00 / $27,987.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $23,323.00 / $23,323.00