HCPCS J7513
Daclizumab, parenteral, 25 mg
Retired codeInjection - Monoclonal Antibodies16 hospitals with prices
This code is retired. Some hospitals still list it.
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $448 – $3,155 | — | — |
| Deaconess Medical Center | $1,376 | — | — |
| Harborview Medical Center | $800 | — | — |
| Kadlec Regional Medical Center | $1,125 – $1,425 | — | — |
| Legacy Salmon Creek Medical Center | $844 | — | — |
| Mary Bridge Children's Hospital | $1,146 – $4,086 | — | — |
| MultiCare Auburn Medical Center | $422 – $3,816 | — | — |
| MultiCare Covington Medical Center | $422 – $3,816 | — | — |
| MultiCare Good Samaritan Hospital | $3,816 | — | — |
| MultiCare Valley Hospital | $694 – $1,376 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,510 | — | — |
| Providence Centralia Hospital | $1,125 – $1,425 | — | — |
| Tacoma General Allenmore Hospital | $422 – $3,816 | — | — |
| University of Washington Medical Ctr | $800 | — | — |
| Virginia Mason Medical Center | $1,664 | — | — |
| Yakima Valley Memorial | $502 – $1,211 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.