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Alaska rates for HCPCS 39503

Rpr Neonatal Diphrg Hernia W/Wo Chest Tube Insj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,285.00 / $11,709.00 / $16,783.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29,131.31 / $29,131.31 / $37,067.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,021.66 / $20,021.66 / $20,021.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,043.93 / $29,131.31 / $41,657.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,850.78 / $35,968.80 / $46,250.75
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,410.00 / $24,835.60 / $36,874.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,043.93 / $29,131.31 / $41,657.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,255.03 / $25,611.00 / $38,755.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,656.98 / $16,239.24 / $40,043.30