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Alaska rates for HCPCS J9268

Injection, pentostatin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,594.05 / $4,684.32 / $16,560.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,585.41 / $2,868.97 / $4,851.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.16 / $2,608.16 / $2,608.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,634.24 / $4,851.17 / $6,791.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.16 / $2,608.16 / $5,216.32
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,124.58 / $4,958.16 / $7,791.39
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,541.54 / $4,249.85 / $4,249.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,608.16 / $4,851.17 / $6,791.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.16 / $3,050.14 / $3,863.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,764.65 / $3,912.24 / $7,824.48