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Alaska rates for HCPCS J9302

Injection Ofatumumab 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.76 / $342.09 / $342.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.92 / $60.09 / $97.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $61.54 / $61.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $97.74 / $139.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.87 / $76.95 / $76.95
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.36 / $101.36 / $159.28
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.40 / $86.88 / $86.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $97.74 / $144.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $72.41 / $86.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.96 / $90.51 / $181.02