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Alaska rates for HCPCS J9280

Injection, mitomycin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $169.82 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $31.62 / $72.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $32.36 / $83.18
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $263.03 / $416.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $229.09 / $229.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $34.67 / $144.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $38.90 / $74.13