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Alaska rates for HCPCS 90284

Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.89 / $22.76 / $22.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.54 / $32.54 / $32.54
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.53 / $24.53 / $38.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.81 / $32.54 / $56.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $15.32 / $23.60