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Alaska rates for HCPCS J9228

Injection, ipilimumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.10 / $1,194.03 / $24,710.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.47 / $201.83 / $341.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $183.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.31 / $341.27 / $477.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $366.96
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.77 / $292.42 / $459.51
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.87 / $250.64 / $250.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.48 / $341.27 / $477.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $212.27 / $245.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.49 / $275.22 / $550.44