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Alaska rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.74 / $34.69 / $122.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.03 / $39.04 / $52.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.84 / $55.84 / $55.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $67.59
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.34 / $26.67 / $36.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.94 / $50.90 / $83.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $22.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $31.49 / $42.34