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Alaska rates for HCPCS 25922

Disarticulation through wrist; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $10,964.78 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $794.33 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,041.74 / $2,818.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $954.99 / $4,365.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,238.72 / $3,388.44
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,691.53 / $3,630.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $933.25 / $3,388.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $851.14 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $2,454.71 / $3,548.13