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Alaska rates for HCPCS J9210

Injection, emapalumab-lzsg, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.08 / $702.75 / $2,484.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.46 / $715.82 / $1,156.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $384.85 / $384.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.62 / $1,023.62 / $1,023.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $384.85 / $1,239.22
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.34 / $568.40 / $891.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.47 / $810.48 / $1,337.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $384.85 / $490.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.42 / $577.28 / $1,154.55