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Alaska rates for HCPCS 51580

Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,634.12 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,910.33 / $8,910.33 / $12,411.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,576.13 / $6,576.13 / $6,576.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,389.23 / $8,910.33 / $12,741.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,573.80 / $11,877.60 / $15,639.59
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,070.00 / $8,201.20 / $12,093.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,389.23 / $8,910.33 / $12,741.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,601.58 / $8,214.00 / $12,213.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,778.84 / $7,891.35 / $12,147.82