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Alaska rates for HCPCS C9047

Injection, caplacizumab-yhdp, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.75 / $1,249.75 / $4,418.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.12 / $1,262.36 / $1,262.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.83 / $794.83 / $794.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.19 / $1,805.19 / $1,805.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.19 / $1,805.19 / $1,805.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.83 / $794.83 / $794.83