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Alaska rates for HCPCS 15731

Forehead Flap W/Preservation Vascular Pedicle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,207.53 / $10,175.36 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,859.31 / $5,252.21 / $5,411.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,719.66 / $1,918.41 / $3,646.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,859.31 / $6,803.03 / $7,576.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,433.28 / $2,890.68 / $3,284.79
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,408.56 / $4,154.80 / $4,806.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,859.31 / $6,803.03 / $7,576.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,656.30 / $3,315.69 / $6,573.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.42 / $2,917.42 / $4,401.22