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Alaska rates for HCPCS 21408

Open Tx Fx Orbit Except Blowout W/Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,594.17 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.59 / $4,399.81 / $4,399.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,216.03 / $2,987.48 / $3,871.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.12 / $4,399.81 / $6,159.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,211.69 / $2,654.04 / $5,387.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,243.75 / $4,448.89 / $5,424.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.12 / $4,399.81 / $6,159.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.06 / $4,411.75 / $5,704.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,374.17 / $4,779.96 / $5,257.96