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Alaska rates for HCPCS J9230

Injection, mechlorethamine HCl, (nitrogen mustard), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.71 / $1,756.06 / $1,756.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.32 / $308.47 / $501.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.72 / $321.72 / $321.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.89 / $501.73 / $717.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.26 / $421.80 / $421.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.44 / $501.73 / $702.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.26 / $321.72 / $421.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.29 / $464.57 / $882.67