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Alaska rates for HCPCS 39540

Repair, diaphragmatic hernia (other than neonatal), traumatic; acute

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,492.44 / $10,900.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.13 / $4,326.10 / $6,186.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.13 / $4,326.10 / $6,186.32