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Alaska rates for HCPCS 15574

Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,490.94 / $10,175.36 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,581.73 / $3,959.90 / $4,202.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.31 / $1,560.14 / $2,900.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.73 / $5,014.42 / $5,883.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,768.55 / $2,122.26 / $2,519.16
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,789.52 / $3,057.43 / $3,764.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.73 / $5,014.42 / $5,883.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.08 / $2,603.48 / $5,008.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.50 / $2,320.50 / $3,500.72