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Alaska rates for HCPCS 35870

Repair of graft-enteric fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,608.57 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,284.21 / $6,931.00 / $6,931.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,250.85 / $4,250.85 / $4,250.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.74 / $6,931.00 / $9,911.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,965.38 / $7,700.70 / $9,966.26
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,583.75 / $5,317.15 / $7,981.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.74 / $6,931.00 / $9,911.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.02 / $5,425.50 / $8,304.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,400.68 / $5,101.02 / $7,853.99