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Alaska rates for HCPCS 23101

Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $13,413.92 / $20,143.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.64 / $2,213.67 / $2,213.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.76 / $1,477.59 / $1,984.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.72 / $2,213.67 / $3,099.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.25 / $1,373.10 / $2,787.55
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,642.50 / $2,263.52 / $2,810.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.72 / $2,213.67 / $3,099.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.98 / $2,237.19 / $2,888.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.08 / $2,068.64 / $2,600.58