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Alaska rates for HCPCS 21740

Repair Pectus Excavatum/Carinatum Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,950.77 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.70 / $5,004.62 / $5,004.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,546.51 / $3,443.54 / $4,299.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.65 / $5,004.62 / $7,006.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,485.03 / $2,982.03 / $6,053.81
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.00 / $5,120.43 / $6,118.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.65 / $5,004.62 / $7,006.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,530.19 / $5,014.35 / $6,564.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.84 / $4,820.97 / $6,060.65