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Alaska rates for HCPCS 21275

Secondary revision of orbitocraniofacial reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $14,125.38 / $22,387.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,071.52 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,754.23 / $3,630.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,258.93 / $5,754.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,818.38 / $4,265.80
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,467.37 / $4,786.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,258.93 / $4,466.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,148.15 / $2,754.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $3,801.89 / $4,897.79