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Alaska rates for HCPCS J9019

Injection, asparaginase (Erwinaze), 1,000 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.47 / $2,285.50 / $2,285.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.96 / $401.47 / $653.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.15 / $411.15 / $411.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.15 / $653.00 / $933.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.71 / $546.73 / $546.73
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.18 / $677.18 / $1,064.14
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.70 / $580.44 / $580.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.15 / $653.00 / $967.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.15 / $411.15 / $580.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.26 / $604.62 / $1,148.78