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Alaska rates for HCPCS 84446

Tocopherol alpha (Vitamin E)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $102.33 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.88 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $16.60 / $20.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $14.13 / $147.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $56.23
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $54.95 / $91.20
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $31.62 / $70.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $14.13 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $28.18 / $42.66