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Alaska rates for HCPCS 0055T

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on CT/MRI images (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $9,772.37 / $15,848.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $204.17 / $380.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $251.19 / $14,125.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $251.19 / $398.11
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $870.96 / $1,148.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $269.15 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $794.33 / $1,023.29