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Alaska rates for HCPCS 42200

Palatop Cl Palate Soft&/Hard Palate Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,650.25 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.04 / $960.47 / $4,845.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.37 / $1,460.69 / $3,090.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.03 / $4,845.16 / $6,783.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,267.50 / $3,341.70 / $6,161.98
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.88 / $4,125.00 / $6,918.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.03 / $4,845.16 / $6,783.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.04 / $3,334.80 / $6,076.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.16 / $2,499.84 / $5,934.48