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Alaska rates for HCPCS J0567

Injection, cerliponase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.80 / $185.80 / $656.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.39 / $189.92 / $189.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.58 / $271.58 / $271.58
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.24 / $186.24 / $292.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.24 / $266.06 / $439.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $175.86 / $236.50