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Alaska rates for HCPCS 21139

Rdctj Fhd Cntrg & Setback Ant Frontal Sinus Wall

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,122.11 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.29 / $5,295.23 / $5,295.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,700.74 / $3,644.74 / $4,676.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,022.70 / $5,295.23 / $7,413.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,662.93 / $3,195.51 / $6,487.21
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,018.75 / $5,211.70 / $6,540.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,022.70 / $5,295.23 / $7,413.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.28 / $4,812.00 / $7,136.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,915.80 / $4,398.79 / $6,414.76