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Alaska rates for HCPCS J9269

Injection, tagraxofusp-erzs, 10 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.17 / $641.95 / $2,269.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.18 / $392.62 / $663.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.93 / $356.93 / $356.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.50 / $663.89 / $929.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.93 / $356.93 / $713.86
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.54 / $540.11 / $848.74
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.79 / $462.95 / $462.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.93 / $663.89 / $929.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.93 / $406.85 / $462.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.35 / $535.40 / $1,070.79