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Alaska rates for HCPCS 24920

Amputation, arm through humerus; open, circular (guillotine)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.56 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.46 / $3,569.43 / $3,569.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,795.90 / $2,400.48 / $3,159.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.45 / $3,569.43 / $4,997.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.50 / $2,183.40 / $4,432.50
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,645.00 / $3,637.80 / $4,458.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.45 / $3,569.43 / $4,997.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.22 / $3,595.50 / $4,642.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,915.90 / $3,360.70 / $4,224.88