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Alaska rates for HCPCS C9293

Injection, glucarpidase, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.35 / $2,334.57 / $2,334.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.81 / $430.60 / $700.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.98 / $700.38 / $1,001.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.60 / $700.38 / $1,001.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98