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Alaska rates for HCPCS J2540

Injection, penicillin G potassium, up to 600,000 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $5.71 / $136.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.12 / $2.12 / $2.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $2.54
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $2.56 / $4.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $2.56 / $6.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.19 / $1.59