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Alaska rates for HCPCS J9020

Injection, asparaginase, not otherwise specified, 10,000 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.46 / $383.43 / $383.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.13 / $54.49 / $109.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.13 / $62.13 / $62.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.64 / $109.55 / $156.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.54 / $75.05 / $75.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.40 / $109.55 / $153.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.08 / $1,800,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.48 / $109.64 / $219.27