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Alaska rates for HCPCS 19105

Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $9,577.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.30 / $10,147.95 / $14,932.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.83 / $709.83 / $7,922.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.78 / $1,461.89 / $14,207.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.33 / $1,672.78 / $13,736.10
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.45 / $1,366.99 / $14,937.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.78 / $1,461.89 / $14,207.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.98 / $2,225.60 / $15,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,027.25 / $9,561.00 / $15,844.10