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Alaska rates for HCPCS J1320

Injection, amitriptyline HCl, up to 20 mg

Facilitymedian $5 · 10th–90th $4–$130%20%40%10th90th$5Professionalmedian $2 · 10th–90th $2–$30%50%90th$2$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $5.13 / $12.59
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.19 / $60.26
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $5.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $2.24 / $4.47