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Alaska rates for HCPCS J9201

Injection, gemcitabine HCl, not otherwise specified, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.45 / $389.15 / $444.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $3.44 / $10.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $5.82 / $187.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $6.39
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.32 / $17.91 / $28.14
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.79 / $15.35 / $15.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.98 / $8.15 / $187.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.59 / $12.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $4.70 / $9.52