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Washington rates for HCPCS J9999

Chemotherapy Drug

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $50.00 / $1,576.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $80.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.00 / $750.00 / $750.00