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Alaska rates for HCPCS 0420T

Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities, extensive, greater than 100 neurofibromas

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
$480.50 / $480.50 / $480.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.50 / $672.70 / $687.12
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.40 / $1,722.00 / $2,450.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.50 / $672.70 / $687.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.40 / $1,722.00 / $2,732.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.24 / $1,037.30 / $2,074.60