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Alaska rates for HCPCS 40819

Exc Frenum Labial/Buccal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.30 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.84 / $327.93 / $1,373.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.72 / $689.72 / $890.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.73 / $1,373.51 / $1,922.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.70 / $1,287.30 / $1,749.06
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.35 / $1,188.25 / $2,018.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.73 / $1,373.51 / $1,922.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.95 / $1,015.00 / $1,983.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.37 / $1,074.67 / $1,823.95