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Alaska rates for HCPCS 53621

Dilat Urethral Strix Filiform & Follwr Male Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.12 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.78 / $672.43 / $707.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.15 / $249.15 / $441.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.59 / $472.89 / $989.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.05 / $499.94 / $1,036.92
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.55 / $466.07 / $765.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.59 / $472.89 / $989.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.51 / $398.27 / $749.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.14 / $353.44 / $658.12