go back

Alaska rates for HCPCS 52305

Cysto Inc/Rescj Orifice Bldr Diverticulum 1/Mlt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,872.00 / $8,303.41 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,307.91 / $1,307.91 / $1,830.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.10 / $968.10 / $968.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.99 / $1,307.91 / $1,870.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.35 / $1,730.40 / $2,290.34
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.00 / $1,194.80 / $1,777.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.99 / $1,307.91 / $1,870.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.85 / $1,206.00 / $1,797.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.38 / $774.48 / $1,791.47