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Alaska rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,405.40 / $132,241.00 / $132,241.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,083.00 / $23,229.71 / $37,783.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,279.26 / $37,783.26 / $54,030.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,261.33 / $3,230.48 / $3,230.48
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,182.64 / $39,182.64 / $61,572.72
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,987.60 / $33,585.12 / $33,585.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,279.26 / $37,783.26 / $55,149.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,230.48 / $27,468.75 / $33,089.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,722.38 / $34,984.50 / $69,969.00