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Alaska rates for HCPCS J1335

Injection, ertapenem sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.34 / $106.28 / $377.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $18.34 / $54.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.23 / $26.23 / $26.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $31.75
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.62 / $75.59 / $118.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.21 / $84.00 / $198.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $10.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $14.79 / $19.89