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Alaska rates for HCPCS J0945

Injection, brompheniramine maleate, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $4.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.24 / $1.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.77 / $1.77 / $1.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.77 / $1.77 / $1.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.48 / $0.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.20 / $1.61