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Alaska rates for HCPCS J0565

Injection, bezlotoxumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.22 / $73.33 / $5,359.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.22 / $74.06 / $103.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $39.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.92 / $105.92 / $105.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $47.80
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.18 / $63.84 / $100.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.21 / $91.20 / $150.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $43.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $59.75 / $80.34