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Alaska rates for HCPCS 21750

Closure of median sternotomy separation with or without debridement (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $10,000.00 / $16,982.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,122.02 / $4,677.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,096.48 / $3,630.78