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Alaska rates for HCPCS 28446

Open osteochondral autograft, talus (includes obtaining graft[s])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,513.87 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.75 / $3,513.87 / $5,959.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,007.44 / $4,031.25 / $5,238.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.43 / $5,959.64 / $8,343.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,014.70 / $3,617.64 / $7,344.16
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,398.75 / $6,078.48 / $7,396.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.43 / $5,959.64 / $8,343.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,821.73 / $6,007.80 / $7,779.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,225.00 / $4,865.25 / $7,095.00