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Alaska rates for HCPCS J3320

Injection Spectinomycin Dihydrochloride Up To 2 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.42 / $47.42 / $167.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.45 / $47.90 / $47.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.50 / $68.50 / $68.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.50 / $68.50 / $68.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $45.12 / $60.68