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Alaska rates for HCPCS 42550

Injection procedure for sialography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.12 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.61 / $344.17 / $788.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.66 / $223.14 / $564.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.03 / $172.74 / $492.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.63 / $371.39 / $978.23
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.75 / $441.40 / $835.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.03 / $172.74 / $1,079.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.93 / $338.55 / $747.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.26 / $385.10 / $580.96