go back

Alaska rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.74 / $2.74 / $9.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.77 / $2.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.96 / $3.96 / $3.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.96 / $3.96 / $3.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.60 / $4.84