go back

Alaska rates for HCPCS J9301

Injection, obinutuzumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.02 / $144.47 / $510.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.02 / $86.90 / $146.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $79.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.79 / $146.93 / $205.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $158.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.94 / $138.46 / $217.58
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.90 / $118.68 / $118.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $146.93 / $205.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $89.51 / $118.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.74 / $118.50 / $237.00