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Alaska rates for HCPCS J0202

Injection, alemtuzumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,544.96 / $4,494.31 / $15,889.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,235.38 / $2,672.88 / $4,519.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,429.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.19 / $4,519.60 / $6,327.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $4,859.78
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,642.80 / $4,082.15 / $6,414.80
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,915.82 / $3,498.98 / $3,498.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $4,519.60 / $6,327.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,805.24 / $3,455.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,575.67 / $3,644.84 / $7,289.67