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Alaska rates for HCPCS 21235

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $794.33 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,862.09 / $3,162.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $1,174.90 / $3,981.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,862.09 / $3,467.37
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $3,019.95 / $4,073.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $977.24 / $3,801.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $977.24 / $1,862.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $2,754.23 / $4,073.80