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Alaska rates for HCPCS J0360

Injection, hydralazine HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.02 / $63.70 / $462.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $10.42 / $12.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $5.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.90 / $14.90 / $14.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $18.03
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.16 / $24.05 / $37.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.21 / $24.05 / $56.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $6.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $8.40 / $11.30