go back

Alaska rates for HCPCS J9245

Injection, melphalan HCl, not otherwise specified, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.64 / $198.93 / $703.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $130.72 / $186.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $95.90 / $117.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.66 / $178.38 / $690.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $95.90 / $215.78
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.81 / $462.00 / $726.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.00 / $396.00 / $396.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.38 / $249.73 / $1,009.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $184.25 / $336.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.65 / $143.85 / $287.70