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Alaska rates for HCPCS 25316

Flexor Origin Slide F/Arm&/Wrst Tendon Transfe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.14 / $4,460.60 / $4,460.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,247.66 / $3,005.06 / $3,937.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.18 / $4,460.60 / $6,244.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,265.08 / $2,718.09 / $5,517.97
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,300.00 / $4,545.96 / $5,558.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.18 / $4,460.60 / $6,244.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,363.74 / $4,493.10 / $5,790.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,395.60 / $4,207.07 / $5,288.89