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Alaska rates for HCPCS J0895

Injection, deferoxamine mesylate, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $16.60 / $58.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $16.76 / $22.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.97 / $23.97 / $23.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $29.01
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $21.76 / $34.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.42 / $23.97 / $51.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $13.52 / $18.17