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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
$2.51 / $81.28 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $107.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $3.55
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $2.88 / $4.57
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.17 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.62 / $213.80