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Alaska rates for HCPCS 32658

Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,039.21 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,323.83 / $3,323.83 / $4,463.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,370.61 / $2,370.61 / $2,370.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.36 / $3,323.83 / $4,753.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,727.30 / $4,485.60 / $5,633.68
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,670.00 / $3,097.20 / $4,534.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.36 / $3,323.83 / $4,753.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.65 / $3,090.00 / $4,580.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,846.90 / $1,896.48 / $4,368.76