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Alaska rates for HCPCS 20150

Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,883.40 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.67 / $4,890.35 / $4,890.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,468.44 / $3,318.85 / $4,288.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.10 / $4,890.35 / $6,846.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,469.65 / $2,963.58 / $6,016.38
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,636.25 / $4,934.30 / $6,056.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.38 / $4,890.35 / $6,846.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.00 / $4,544.75 / $6,406.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,655.08 / $4,005.47 / $5,841.18