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Alaska rates for HCPCS J1632

Injection, brexanolone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $75.86 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $173.78 / $426.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $74.13 / $120.23
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $194.98
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $173.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $112.20 / $151.36