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Alaska rates for HCPCS 54162

Lysis/Excision Penile Postcircumcision Adhesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.03 / $6,825.52 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.18 / $308.81 / $1,385.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.35 / $678.35 / $843.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.57 / $1,385.86 / $1,940.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.05 / $1,272.59 / $1,722.11
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.70 / $1,044.90 / $1,458.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.57 / $1,385.86 / $1,940.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.97 / $967.50 / $1,458.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,097.02 / $4,097.02 / $4,097.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.15 / $679.00 / $1,687.55