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Alaska rates for HCPCS J7178

Injection, human fibrinogen concentrate, not otherwise specified, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $4.90
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.51 / $3.98
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $2.82 / $4.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.66 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $2.29 / $3.09