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Alaska rates for HCPCS J2760

Injection, phentolamine mesylate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.56 / $803.78 / $2,841.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.87 / $803.56 / $1,017.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $432.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.08 / $1,149.08 / $1,149.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $1,391.10
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.66 / $823.14 / $1,293.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.77 / $1,091.72 / $1,801.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $468.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $648.03 / $871.47