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Alaska rates for HCPCS 23155

Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $10,000.00 / $20,417.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,000.00 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,630.27 / $3,467.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,230.27 / $5,370.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,754.23 / $4,073.80
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,311.31 / $4,570.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,202.26 / $4,265.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,071.52 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $3,548.13 / $4,570.88