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Alaska rates for HCPCS J0770

Colistimethate Sodium Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.41 / $20.97 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $24.29 / $40.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.72 / $34.72 / $34.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $42.05
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.35 / $47.03 / $73.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.45 / $47.03 / $110.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $14.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $19.59 / $26.34