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Alaska rates for HCPCS J2543

Injection, piperacillin sodium/tazobactam sodium, 1 g/0.125 g (1.125 g)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.48 / $66.59 / $147.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.99 / $4.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $2.85 / $16.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $3.45
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $2.94 / $4.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $4.09 / $9.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.61 / $2.16