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Alaska rates for HCPCS 38200

Injection procedure for splenoportography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,464.00 / $6,782.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.70 / $721.42 / $721.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.41 / $299.54 / $470.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.41 / $166.41 / $1,031.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.52 / $399.96 / $921.75
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.00 / $515.70 / $744.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.41 / $199.69 / $1,031.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.84 / $381.00 / $716.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.11 / $376.22 / $849.83