go back

Alaska rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.89 / $66.13 / $233.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $66.13 / $83.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.57 / $94.57 / $94.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $114.47
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.94 / $53.94 / $84.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.94 / $77.06 / $127.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $38.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $53.33 / $71.70