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Alaska rates for HCPCS 25922

Disarticulation Thru Wrist Sec Closure/Scar Revj

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
$605.46 / $3,110.78 / $3,110.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,555.68 / $2,029.17 / $2,807.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.07 / $3,110.78 / $4,355.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,599.53 / $1,919.43 / $3,896.66
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,217.50 / $3,080.40 / $3,867.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.07 / $3,110.78 / $4,355.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.26 / $2,877.00 / $3,867.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.34 / $2,448.98 / $3,571.35