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Alaska rates for HCPCS J1320

Injection, amitriptyline HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.52 / $3.52 / $12.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $3.56 / $3.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $3.36 / $4.51