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Alaska rates for HCPCS 42975

Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,872.00 / $7,340.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.92 / $116.39 / $515.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.07 / $390.07 / $390.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.04 / $515.92 / $737.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.13 / $613.20 / $786.50
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.00 / $534.36 / $788.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.04 / $515.92 / $737.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.61 / $498.00 / $740.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.74 / $470.78 / $717.69