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Alaska rates for HCPCS 21146

Rcnstj Midface Lefort I 2 Pieces W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,754.02 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.69 / $4,754.02 / $8,062.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,074.43 / $5,492.14 / $6,956.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,516.14 / $8,062.97 / $11,288.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,930.90 / $4,717.08 / $9,576.17
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,010.00 / $7,971.30 / $9,840.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,516.14 / $8,062.97 / $11,288.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,448.41 / $7,838.25 / $10,555.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,393.72 / $8,787.44 / $9,666.18