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Alaska rates for HCPCS 33915

Pulmonary artery embolectomy; without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.10 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,025.34 / $7,613.88 / $7,613.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,652.55 / $4,652.55 / $4,652.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,665.57 / $7,613.88 / $10,887.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,279.13 / $8,515.50 / $10,906.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,068.75 / $5,879.75 / $8,408.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,665.57 / $7,613.88 / $10,887.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.69 / $5,982.00 / $9,174.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,722.04 / $5,583.06 / $8,614.93