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Alaska rates for HCPCS 21031

Excision of torus mandibularis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.70 / $1,060.79 / $1,799.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.73 / $925.19 / $1,663.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.78 / $1,114.02 / $2,238.60
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.75 / $1,555.20 / $2,223.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.67 / $1,515.89 / $2,255.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.44 / $1,712.27 / $2,152.57