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Alaska rates for HCPCS J0716

Injection, Centruroides immune f(ab)2, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,413.69 / $8,413.69 / $29,745.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,225.12 / $8,498.68 / $8,498.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,351.02 / $5,351.02 / $5,351.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,153.11 / $12,153.11 / $12,153.11
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,813.45 / $8,813.45 / $13,849.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,813.45 / $12,153.11 / $20,774.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,351.02 / $5,351.02 / $5,351.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,246.10 / $7,869.15 / $10,582.43