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Alaska rates for HCPCS 80202

Vancomycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.35 / $101.61 / $400.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $45.36 / $45.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.40 / $37.40 / $37.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $15.69 / $19.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.81 / $11.81 / $11.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $13.54 / $54.16
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.39 / $52.13 / $87.41
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.19 / $30.47 / $210.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.81 / $11.81 / $47.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $17.52 / $19.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $27.08 / $40.85