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Alaska rates for HCPCS 12054

Repair Intermediate F/E/E/N/L&/Muc 7.6-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.70 / $7,340.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.03 / $1,080.57 / $1,801.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.93 / $622.41 / $1,179.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.57 / $1,545.22 / $2,522.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.15 / $643.38 / $1,106.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.40 / $955.50 / $1,593.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.57 / $1,545.22 / $2,522.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.56 / $941.40 / $1,608.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.36 / $943.76 / $1,423.76