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Alaska rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.64 / $1,028.53 / $3,636.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.15 / $1,038.73 / $1,422.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.38 / $1,485.38 / $1,485.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $1,798.24
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.45 / $878.04 / $1,379.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.53 / $1,254.33 / $2,069.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $605.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $837.69 / $1,126.53