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Alaska rates for HCPCS J1459

Injection, immune globulin (Privigen), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.82 / $92.86 / $22,032.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.94 / $94.37 / $117.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $50.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.94 / $134.94 / $134.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $163.38
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.38 / $152.07 / $238.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.47 / $147.78 / $348.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $55.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.83 / $76.11 / $152.22