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Alaska rates for HCPCS J9357

Injection, valrubicin, intravesical, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,583.58 / $2,535.21 / $8,962.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.35 / $1,455.68 / $2,461.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.35 / $1,323.35 / $1,492.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.59 / $2,461.42 / $3,519.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.35 / $1,323.35 / $2,646.70
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,101.92 / $2,362.08 / $3,711.84
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,687.20 / $2,024.64 / $2,024.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,323.35 / $2,461.42 / $3,519.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.35 / $1,724.50 / $2,024.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.35 / $1,985.03 / $3,970.05