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Alaska rates for HCPCS J1554

Injection, immune globulin (Asceniv), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.47 / $914.27 / $3,232.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.47 / $923.93 / $1,157.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,321.22 / $1,321.22 / $1,321.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $1,599.50
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.12 / $787.78 / $1,237.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.74 / $1,112.61 / $1,835.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $538.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.35 / $745.11 / $1,490.22