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Alaska rates for HCPCS J0745

Injection, codeine phosphate, per 30 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.06 / $7.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.08 / $2.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $2.97 / $2.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $2.97 / $2.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $2.27 / $3.07