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Alaska rates for HCPCS A4305

Disposable drug delivery system, flow rate of 50 ml or greater per hour

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.69 / $9.69 / $9.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.69 / $10.66 / $22.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.65 / $12.35 / $12.35
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.10 / $35.10 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.34 / $35.10 / $50.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.69 / $13.53 / $26.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.35 / $32.50 / $52.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $6.29 / $31.47