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Alaska rates for HCPCS J9317

Injection, sacituzumab govitecan-hziy, 2.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.92 / $236.04 / $13,526.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $39.90 / $67.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.64 / $67.47 / $96.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $44.14 / $90.70
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.49 / $57.50 / $90.35
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.07 / $49.28 / $49.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $67.47 / $96.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $41.60 / $48.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.46 / $54.42 / $108.84