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Alaska rates for HCPCS J2778

Injection, ranibizumab, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.78 / $219.08 / $593.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.37 / $95.97 / $3,305.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.38 / $86.38 / $86.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.76 / $229.76 / $229.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.38 / $86.38 / $278.14
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.14 / $655.20 / $1,029.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.74 / $655.20 / $1,544.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.38 / $86.38 / $93.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.38 / $129.57 / $174.25