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Alaska rates for HCPCS A2004

XCelliStem, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $20.89 / $30.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $20.89
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $25.12 / $3,467.37
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $16.98 / $18.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $16.98 / $23.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.50 / $38.90