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Alaska rates for HCPCS 37788

Penile revascularization, artery, with or without vein graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,752.06 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,646.11 / $7,206.61 / $7,206.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,376.95 / $4,376.95 / $4,376.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.85 / $7,206.61 / $10,305.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,050.28 / $7,921.20 / $10,413.91
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,715.00 / $5,469.40 / $8,157.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.85 / $7,206.61 / $10,305.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.29 / $5,478.00 / $8,369.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,501.56 / $5,252.34 / $8,081.88