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Alaska rates for HCPCS 23900

Interthoracoscapular amputation (forequarter)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,983.40 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.33 / $6,755.98 / $6,755.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,413.47 / $4,588.56 / $5,909.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,308.63 / $6,755.98 / $9,458.37
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,398.00 / $4,077.60 / $8,277.94
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,996.25 / $6,895.48 / $8,338.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,308.63 / $6,755.98 / $9,458.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,063.39 / $6,815.30 / $8,822.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,670.84 / $6,291.56 / $8,075.85