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Alaska rates for HCPCS 14021

Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,441.86 / $10,175.36 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.54 / $890.30 / $4,119.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.56 / $1,496.12 / $2,768.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,427.57 / $4,798.60 / $5,767.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.00 / $2,084.40 / $2,553.12
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.24 / $3,002.90 / $3,718.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,427.57 / $4,798.60 / $5,767.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.56 / $2,545.62 / $4,720.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.94 / $2,214.66 / $3,341.05