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Alaska rates for HCPCS 12042

Repair Intermediate N/H/F/Xtrnl Gent 2.6-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.80 / $2,464.00 / $11,709.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.83 / $335.30 / $1,454.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.67 / $499.56 / $944.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.89 / $1,362.63 / $2,035.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.93 / $573.51 / $898.59
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.00 / $856.95 / $1,294.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.89 / $1,362.63 / $2,035.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.20 / $756.90 / $1,373.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.52 / $755.84 / $1,140.26