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Alaska rates for HCPCS 21025

Excision of bone (eg, for osteomyelitis or bone abscess); mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,935.33 / $7,340.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.45 / $3,282.40 / $3,846.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,669.83 / $2,315.86 / $3,410.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.19 / $3,282.40 / $5,384.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,639.98 / $2,356.11 / $4,734.60
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,535.00 / $3,520.60 / $4,958.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.19 / $3,282.40 / $5,384.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,464.72 / $3,547.50 / $5,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.32 / $3,249.05 / $4,738.10