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Alaska rates for HCPCS 25145

Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,872.00 / $8,303.41 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.65 / $2,525.29 / $2,525.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.27 / $1,681.24 / $2,263.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.32 / $2,525.29 / $3,535.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.18 / $1,566.21 / $3,179.58
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,855.00 / $2,573.12 / $3,198.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.32 / $2,525.29 / $3,535.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.54 / $2,543.19 / $3,271.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,344.98 / $2,353.71 / $2,958.96