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Alaska rates for HCPCS 21742

Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracoscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,285.00 / $10,900.00 / $17,695.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.39 / $5,819.12 / $5,819.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,948.59 / $3,943.06 / $5,148.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,087.69 / $5,819.12 / $8,146.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.77 / $1,157.77 / $1,653.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,352.50 / $5,985.60 / $7,288.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.29 / $5,819.12 / $8,146.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,750.44 / $5,953.20 / $7,684.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,807.74 / $4,246.35 / $6,192.47