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Alaska rates for HCPCS J0280

Injection, aminophylline, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $15.29 / $54.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $11.48 / $19.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.34 / $10.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.50 / $27.50 / $27.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.34 / $33.29
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.81 / $18.34 / $28.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.47 / $24.96 / $41.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.34 / $11.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $15.51 / $20.86