go back

Alaska rates for HCPCS J1830

Injection interferon beta-1b, 0.25 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $724.44 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,659.59 / $4,073.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $676.08 / $1,148.15
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,862.09
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,659.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,122.02 / $3,388.44