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Alaska rates for HCPCS 87903

Nfct Phexyp Resist Tiss Cul Hiv First 1-10 Drugs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.22 / $3,372.24 / $5,729.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,637.01 / $1,637.01 / $3,142.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.93 / $1,349.93 / $1,349.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.31 / $358.31 / $772.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,340.92 / $2,340.92 / $2,340.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.66 / $488.66 / $1,573.49
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,710.31 / $1,881.34 / $3,152.01
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.79 / $1,099.49 / $1,099.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.93 / $1,881.34 / $3,152.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.31 / $488.66 / $772.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.72 / $1,206.56 / $1,474.39