go back

Alaska rates for HCPCS J9040

Injection, bleomycin sulfate, 15 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $151.36 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $26.30 / $57.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $28.84 / $57.54
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $66.07 / $102.33
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $56.23 / $56.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $33.11 / $85.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $16.60 / $38.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $34.67 / $69.18