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Alaska rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.39 / $488.39 / $1,726.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.30 / $493.32 / $828.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.45 / $705.45 / $705.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.12 / $217.12 / $310.18
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.59 / $511.59 / $803.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.59 / $705.45 / $1,205.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.12 / $310.18 / $310.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.30 / $447.45 / $601.73