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Alaska rates for HCPCS J3396

Injection, verteporfin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.48 / $21.28 / $75.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $12.81 / $26.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $11.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.69 / $30.69 / $30.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $37.15
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.36 / $19.14 / $30.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.39 / $27.36 / $45.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $12.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $17.30 / $23.28