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Alaska rates for HCPCS 40700

Plstc Rpr Cl Lip/Nsl Dfrm Prim Prtl/Compl Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,888.85 / $13,413.92 / $20,595.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.37 / $1,005.99 / $5,281.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,741.63 / $1,741.63 / $3,334.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,281.38 / $7,393.93 / $7,552.37
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,226.33 / $2,968.44 / $5,353.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,336.00 / $4,089.15 / $8,259.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,281.38 / $7,393.93 / $7,552.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,381.30 / $3,059.90 / $6,841.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.74 / $2,667.32 / $4,023.93