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Alaska rates for HCPCS 28200

Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $10,715.19 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $512.86 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,202.26 / $2,137.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $891.25 / $3,235.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,288.25 / $2,398.83
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,819.70 / $2,754.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $660.69 / $2,290.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $676.08 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $1,737.80 / $2,691.53