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Alaska rates for HCPCS 80155

Caffeine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $275.42 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $36.31 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $44.67 / $54.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $38.90 / $173.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $154.88
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $141.25 / $154.88
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $87.10 / $87.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $34.67 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $77.62 / $117.49