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Alaska rates for HCPCS 15922

Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,271.54 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,832.59 / $3,832.59 / $4,170.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.81 / $1,341.81 / $2,582.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,832.59 / $5,365.63 / $5,480.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,764.18 / $2,101.33 / $2,352.23
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,795.20 / $3,242.70 / $3,514.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,832.59 / $5,365.63 / $5,480.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.75 / $2,425.92 / $5,122.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.39 / $2,066.04 / $3,116.84