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Alaska rates for HCPCS J0699

Injection, cefiderocol, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.41 / $4.42 / $15.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $4.50 / $5.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $6.44 / $6.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $7.79
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $3.70 / $5.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.42 / $5.28 / $8.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $3.63 / $4.88