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Alaska rates for HCPCS 21616

Excision 1st &/Cervical Rib W/Sympathectomy

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
$665.33 / $3,495.73 / $3,495.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,764.20 / $2,400.21 / $2,985.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.75 / $3,495.73 / $4,894.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,731.35 / $2,077.62 / $4,217.77
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.00 / $3,562.12 / $4,264.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.75 / $3,495.73 / $4,894.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.28 / $3,488.10 / $4,545.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,920.18 / $2,896.79 / $4,224.39