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Alaska rates for HCPCS 82415

Chloramphenicol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.75 / $87.43 / $148.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.44 / $42.44 / $81.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.02 / $35.02 / $35.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.26 / $14.46 / $18.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.71 / $13.71 / $13.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.67 / $12.67 / $50.68
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.35 / $48.78 / $81.72
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $28.51 / $28.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.71 / $13.71 / $44.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.67 / $16.38 / $18.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.97 / $25.34 / $38.22