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Alaska rates for HCPCS J9130

Dacarbazine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $26.92 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.47 / $7.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $5.13 / $10.23
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $10.00 / $15.85
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $8.71 / $8.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $5.62 / $10.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $7.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $6.17 / $11.48