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Alaska rates for HCPCS J0795

Injection, corticorelin ovine triflutate, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.63 / $14.63 / $51.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $14.78 / $24.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.31 / $9.31 / $9.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.14 / $21.14 / $21.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.31 / $8.31 / $11.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.14 / $21.14 / $21.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.31 / $9.31 / $9.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $16.43 / $22.09