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Alaska rates for HCPCS 50081

Perq Nl/Pl Lithotrp Complex >2 Cm Mlt Locations

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,350.22 / $9,813.00 / $17,617.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,419.27 / $5,298.37 / $7,576.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,419.27 / $5,298.37 / $7,576.67