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Alaska rates for HCPCS 21407

Open Tx Fx Orbit Except Blowout W/Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.88 / $3,172.98 / $3,172.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,582.80 / $2,127.14 / $2,783.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.03 / $3,172.98 / $4,442.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.65 / $1,908.78 / $3,874.99
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,316.25 / $3,178.56 / $3,864.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.03 / $3,172.98 / $4,442.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.56 / $3,141.60 / $4,059.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,696.02 / $2,977.98 / $3,743.74