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Alaska rates for HCPCS 12021

Tx Superficial Wound Dehiscence W/Packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.84 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.37 / $160.19 / $838.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.62 / $281.24 / $546.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.82 / $951.75 / $1,173.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.68 / $412.41 / $514.32
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.13 / $595.00 / $768.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.82 / $951.75 / $1,173.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.62 / $505.20 / $907.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.38 / $436.96 / $436.96