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Alaska rates for HCPCS 84275

Sialic acid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.89 / $92.74 / $157.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.02 / $45.02 / $86.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.80 / $15.69 / $19.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.55 / $14.55 / $14.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.44 / $13.44 / $53.76
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.04 / $51.74 / $86.69
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.10 / $30.24 / $30.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.55 / $14.55 / $47.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.44 / $13.44 / $17.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $26.88 / $40.54