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Alaska rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.88 / $956.64 / $3,382.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.71 / $946.67 / $1,211.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,353.74 / $1,353.74 / $1,353.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $1,638.85
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.11 / $846.55 / $1,330.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.20 / $1,152.96 / $1,902.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $552.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $763.44 / $1,026.67