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Alaska rates for HCPCS 13102

Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.27 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.67 / $108.69 / $551.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.36 / $209.60 / $381.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.78 / $507.34 / $772.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.05 / $207.66 / $336.72
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.00 / $310.30 / $503.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.78 / $507.34 / $772.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.44 / $279.50 / $514.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.34 / $305.04 / $460.18