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Alaska rates for HCPCS J1823

Injection, inebilizumab-cdon, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.60 / $910.45 / $3,218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.38 / $921.71 / $1,152.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.05 / $1,318.05 / $1,318.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $1,595.67
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.17 / $767.73 / $1,206.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.32 / $1,096.76 / $1,809.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $537.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $743.33 / $999.62