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Alaska rates for HCPCS 47701

Portoenterostomy (eg, Kasai procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,996.95 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.91 / $1,891.17 / $9,135.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,675.14 / $2,607.69 / $5,818.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,736.30 / $9,135.39 / $12,789.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,222.83 / $6,298.65 / $11,645.65
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,477.20 / $8,115.20 / $12,885.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,736.30 / $9,135.39 / $12,789.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,057.12 / $6,195.00 / $11,051.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,986.59 / $4,655.16 / $12,840.51