go back

Alaska rates for HCPCS J2507

Injection, pegloticase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,670.83 / $6,700.61 / $23,689.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.82 / $3,660.82 / $7,338.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,660.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,737.08 / $9,737.08 / $9,737.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $11,787.87
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,358.56 / $6,156.95 / $9,675.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,203.10 / $8,589.48 / $14,172.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,971.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $5,491.25 / $7,384.63