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Alaska rates for HCPCS 50396

Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,464.00 / $6,782.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.54 / $546.54 / $763.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.36 / $404.36 / $404.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.76 / $546.54 / $781.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.18 / $722.40 / $951.15
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.00 / $498.80 / $745.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.76 / $546.54 / $781.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.55 / $504.00 / $753.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.00 / $485.22 / $747.41