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Alaska rates for HCPCS 15221

Fth/Gft Fr W/Dir Clsr S/A/L Ea Addl 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.98 / $7,340.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.12 / $366.68 / $605.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.89 / $235.28 / $422.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.12 / $486.37 / $847.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.58 / $199.89 / $369.72
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.60 / $307.50 / $552.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.12 / $486.37 / $847.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.68 / $304.50 / $580.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.68 / $338.04 / $509.97