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Alaska rates for HCPCS 0164T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,473.04 / $6,782.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.30 / $1,245.72 / $1,245.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.30 / $1,245.72 / $1,744.01
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.00 / $2,634.65 / $4,866.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$992.14 / $1,245.72 / $1,744.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.00 / $2,614.94 / $4,992.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.78 / $2,269.98 / $2,736.32