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Alaska rates for HCPCS J3360

Injection, diazepam, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.37 / $90.90 / $225.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.23 / $9.83 / $14.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.55 / $35.54 / $70.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $23.67
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.90 / $20.68 / $32.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.22 / $20.68 / $48.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $11.03 / $14.83