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Alaska rates for HCPCS A4707

Bicarbonate conc pow per pac

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $5.14 / $5.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.14 / $5.14 / $14.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.14 / $5.14 / $14.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,400,000.00 / $2,400,000.00