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Alaska rates for HCPCS J2350

Injection, ocrelizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $44,668.36 / $67,608.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $60.26 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $23,988.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $190.55
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $114.82 / $181.97
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $158.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $64.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $89.13 / $120.23