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Alaska rates for HCPCS 24931

Amputation, arm through humerus; with implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,675.81 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.25 / $4,538.27 / $4,538.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,289.86 / $3,069.57 / $3,991.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.25 / $4,538.27 / $6,353.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,297.40 / $2,756.88 / $5,596.77
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,367.50 / $4,377.60 / $5,632.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.44 / $4,538.27 / $6,353.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.80 / $4,110.12 / $5,920.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.42 / $4,297.41 / $5,402.45