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Alaska rates for HCPCS J1447

Injection, tbo-filgrastim, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.10 / $1.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.81
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $1.41 / $2.19
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.38 / $0.76