go back

Alaska rates for HCPCS J1448

Injection, trilaciclib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.77 / $9.93 / $35.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $10.16 / $12.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.53 / $14.53 / $14.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $17.57
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.10 / $8.76 / $13.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.97 / $12.38 / $20.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $8.19 / $16.38