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Alaska rates for HCPCS J3400

Injection, triflupromazine HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.37 / $17.37 / $61.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.79 / $17.55 / $17.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.10 / $25.10 / $25.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.10 / $25.10 / $25.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $19.50 / $26.22