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Alaska rates for HCPCS J2797

Injection, rolapitant, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.42 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.88 / $1.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.43 / $2.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $1.43 / $2.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.90 / $1,800,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.38 / $2.76