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Alaska rates for HCPCS 31230

Maxillectomy; with orbital exenteration (en bloc)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,885.32 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,592.79 / $9,592.79 / $12,701.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,728.44 / $6,728.44 / $6,728.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,455.65 / $9,592.79 / $13,717.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,876.22 / $12,663.00 / $16,159.46
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,537.50 / $8,743.50 / $12,815.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,455.65 / $9,592.79 / $13,717.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,771.63 / $8,683.50 / $13,012.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,182.66 / $5,382.76 / $12,431.41