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Alaska rates for HCPCS J9153

Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.01 / $469.73 / $1,660.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.14 / $281.70 / $476.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $256.08 / $256.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.64 / $476.32 / $666.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $256.08 / $512.17
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.96 / $399.20 / $627.30
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.14 / $342.17 / $342.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.08 / $476.32 / $666.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $291.00 / $333.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.45 / $384.14 / $768.27