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Alaska rates for HCPCS 40843

Vestibuloplasty; posterior, bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,359.42 / $10,175.36 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,590.07 / $5,267.10 / $6,315.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,910.15 / $2,910.15 / $3,794.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.60 / $6,141.66 / $8,598.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,134.88 / $5,544.00 / $7,787.23
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,531.60 / $4,886.96 / $7,128.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.60 / $6,141.66 / $8,598.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,727.22 / $4,488.10 / $6,914.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.50 / $4,579.85 / $6,362.95