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Alaska rates for HCPCS 42225

Palatop Cl Palate Attachment Pharyngeal Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,734.96 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.80 / $1,040.73 / $5,000.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.30 / $1,538.62 / $3,115.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.84 / $5,000.06 / $7,000.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,414.67 / $3,444.15 / $6,318.79
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,485.12 / $4,410.00 / $7,367.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.84 / $5,000.06 / $7,000.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.00 / $3,547.20 / $6,322.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,163.06 / $2,532.17 / $7,476.54