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Alaska rates for HCPCS 0117U

Pain Mgmt Alys 11 Endogenous Analytes Urine Alg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,492.06 / $5,801.33 / $9,856.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,816.18 / $2,816.18 / $2,816.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,322.29 / $2,322.29 / $2,322.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.01 / $966.01 / $1,207.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.39 / $655.71 / $1,008.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.65 / $840.65 / $3,362.60
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,942.28 / $3,110.41 / $3,362.60
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.59 / $1,260.98 / $3,362.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,322.29 / $3,110.41 / $3,362.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.62 / $840.65 / $2,311.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.29 / $1,681.30 / $2,536.42