go back

Alaska rates for HCPCS 51605

Injection procedure and placement of chain for contrast and/or chain urethrocystography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $48.98 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $131.83 / $134.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $63.10 / $177.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $104.71 / $208.93
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $154.88 / $218.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $53.70 / $251.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $75.86 / $102.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $104.71 / $165.96