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Alaska rates for HCPCS J1746

Injection, ibalizumab-uiyk, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.65 / $146.18 / $516.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.18 / $147.41 / $185.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.81 / $210.81 / $210.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $255.22
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.43 / $124.32 / $195.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.59 / $177.60 / $293.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $85.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $118.89 / $159.88