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Alaska rates for HCPCS 41821

Operculectomy, excision pericoronal tissues

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,606.93 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $64.57 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $79.43 / $371.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $83.18 / $288.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $58.88 / $288.40
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $223.87 / $323.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $89.13 / $288.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $75.86 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $144.54 / $346.74