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Alaska rates for HCPCS 21230

Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $13,413.92 / $20,143.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.33 / $3,688.29 / $5,163.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.33 / $3,688.29 / $5,163.60