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Alaska rates for HCPCS J1568

Octagam Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.72 / $89.08 / $24,504.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $52.80 / $5,508.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.52 / $47.52 / $47.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.41 / $126.41 / $126.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $47.53 / $153.05
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.42 / $163.16 / $256.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.06 / $163.16 / $384.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.52 / $47.52 / $51.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.23 / $71.30 / $142.59