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Alaska rates for HCPCS J0725

Injection Chorionic Gonadotropin Per 1 000 Usp Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.18 / $32.24 / $114.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.69 / $34.29 / $56.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $18.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.05 / $49.05 / $49.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $59.38
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.70 / $29.96 / $47.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.96 / $42.80 / $70.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $20.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $27.66 / $37.20