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Alaska rates for HCPCS 40702

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 2 Stgs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,246.09 / $5,246.09 / $5,287.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.61 / $1,730.61 / $3,318.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,246.09 / $7,344.53 / $7,501.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,206.69 / $2,942.25 / $5,306.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,173.77 / $4,052.70 / $8,186.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,246.09 / $7,344.53 / $7,501.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.23 / $3,034.21 / $6,782.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.75 / $2,654.56 / $4,004.68