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Alaska rates for HCPCS J0365

Injection, aprotinin, 10,000 kiu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $3.53 / $12.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $3.57 / $3.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.11 / $5.11 / $5.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $2.66 / $3.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.11 / $5.11 / $5.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.98 / $5.35