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Alaska rates for HCPCS J0775

Collagenase, Clost Hist Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.20 / $134.72 / $476.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.90 / $84.32 / $141.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $75.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.89 / $201.89 / $201.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $244.43
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.99 / $127.71 / $200.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.68 / $175.58 / $289.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $82.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $113.87 / $153.13