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Alaska rates for HCPCS 50040

Nephrostomy, nephrotomy with drainage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,339.31 / $4,339.31 / $6,016.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,181.90 / $3,181.90 / $3,181.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.49 / $4,339.31 / $6,205.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,246.48 / $5,833.80 / $7,624.05
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,472.50 / $4,028.10 / $5,891.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.49 / $4,339.31 / $6,205.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.00 / $3,994.50 / $5,976.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,342.17 / $3,818.28 / $5,888.23