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Alaska rates for HCPCS J2504

Injection, pegademase bovine, 25 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.74 / $556.74 / $1,968.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.74 / $562.36 / $562.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.17 / $804.17 / $804.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.48 / $339.48 / $484.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.17 / $804.17 / $804.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.54 / $536.30 / $721.23