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Alaska rates for HCPCS 22904

Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,025.14 / $8,303.41 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,130.74 / $5,130.74 / $6,563.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,503.89 / $3,503.89 / $3,503.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.43 / $5,130.74 / $7,336.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,554.58 / $6,633.90 / $8,349.77
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,948.75 / $4,580.55 / $6,672.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.43 / $5,130.74 / $7,336.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,448.28 / $4,579.50 / $6,799.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,697.01 / $4,228.80 / $6,424.27