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Alaska rates for HCPCS J0744

Injection, ciprofloxacin for intravenous infusion, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $33.26 / $157.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.22 / $5.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $2.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.71 / $7.71 / $16.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $9.34
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $5.46 / $8.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.78 / $7.71 / $12.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $3.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $4.34 / $5.85