go back

Alaska rates for HCPCS J7340

Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.75 / $447.74 / $1,582.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.11 / $453.11 / $558.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $243.61 / $243.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.79 / $255.79 / $255.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $243.61 / $609.03
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.04 / $379.58 / $596.49
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.04 / $271.13 / $325.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.79 / $255.79 / $542.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $264.29 / $298.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.42 / $365.42 / $730.83