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Alaska rates for HCPCS 20101

Exploration of penetrating wound (separate procedure); chest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.35 / $9,577.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.16 / $1,016.51 / $2,635.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.02 / $889.15 / $2,532.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.82 / $1,016.51 / $3,689.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.88 / $1,247.01 / $2,991.60
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.25 / $1,268.40 / $2,966.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.97 / $1,118.16 / $3,689.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.99 / $1,208.00 / $2,840.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.33 / $2,046.35 / $2,572.55