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Alaska rates for HCPCS 40800

Drg Absc Cst Hmtma Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.81 / $9,577.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.35 / $608.41 / $1,001.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.54 / $396.54 / $638.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.24 / $851.79 / $1,401.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.14 / $766.50 / $1,285.20
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.30 / $820.80 / $1,355.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.24 / $851.79 / $1,401.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.13 / $704.85 / $1,355.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.90 / $770.75 / $1,196.51