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Alaska rates for HCPCS 40845

Vestibuloplasty; complex (including ridge extension, muscle repositioning)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,549.28 / $9,577.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,488.77 / $7,688.12 / $7,778.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.96 / $4,073.96 / $4,806.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,493.42 / $7,778.93 / $10,890.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,947.58 / $7,654.50 / $9,886.75
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,891.05 / $6,703.22 / $9,841.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,493.42 / $7,778.93 / $10,890.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,192.90 / $5,565.00 / $9,530.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,820.82 / $3,845.02 / $8,745.34