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Alaska rates for HCPCS 51960

Enterocystoplasty, including intestinal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,109.13 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,418.94 / $6,498.58 / $7,283.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,789.84 / $4,789.84 / $4,789.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.27 / $6,498.58 / $9,292.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,347.05 / $8,691.90 / $11,410.17
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,173.75 / $6,001.55 / $8,837.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.27 / $6,498.58 / $9,292.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.38 / $6,000.00 / $8,931.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,496.06 / $5,747.82 / $8,853.07