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Alaska rates for HCPCS 21401

Closed Tx Fx Orbit Except Blowout W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.70 / $10,175.36 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.18 / $1,568.59 / $2,353.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.92 / $1,207.33 / $2,217.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.70 / $1,568.59 / $3,295.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.98 / $1,492.47 / $2,999.10
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.50 / $1,922.50 / $2,895.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.01 / $1,725.45 / $3,295.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.63 / $1,764.00 / $2,895.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.38 / $2,228.42 / $2,801.44