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Alaska rates for HCPCS 15760

Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,018.10 / $7,340.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.35 / $3,404.99 / $4,046.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.73 / $1,461.82 / $2,721.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,404.99 / $4,766.99 / $5,664.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,707.90 / $2,049.48 / $2,478.39
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,688.09 / $2,952.58 / $3,639.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,404.99 / $4,766.99 / $5,664.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.73 / $2,488.76 / $4,638.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.98 / $2,177.00 / $3,284.23