go back

Alaska rates for HCPCS J1628

Injection, guselkumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $87.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $234.42
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $123.03 / $190.55
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $194.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $67.61 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $109.65 / $147.91