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Alaska rates for HCPCS 20955

Bone graft with microvascular anastomosis; fibula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,820.00 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,292.28 / $12,232.39 / $12,232.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,169.02 / $8,300.98 / $10,503.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,292.87 / $12,232.39 / $17,125.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,928.30 / $7,113.96 / $14,442.07
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,961.25 / $12,210.28 / $14,600.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,292.87 / $12,232.39 / $17,125.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,701.39 / $12,068.30 / $15,708.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,303.89 / $11,381.83 / $14,609.72