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Alaska rates for HCPCS J9155

Injection, degarelix, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $8.02 / $28.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.88 / $8.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.49 / $8.27 / $11.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $8.90
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $10.26 / $16.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.33 / $8.80 / $8.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $8.27 / $11.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $5.05 / $7.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.72 / $6.68 / $13.35