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Alaska rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.13 / $4.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $1.18 / $3.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $2.02
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $2.60 / $4.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $2.69 / $6.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.95 / $1.27