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Alaska rates for HCPCS J0706

Injection, caffeine citrate, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.94 / $6.86 / $29.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.96 / $1.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.80 / $2.80 / $2.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $2.99 / $4.28
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $3.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.80 / $5.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $4.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.82 / $2.44