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Alaska rates for HCPCS 54162

Lysis or excision of penile post-circumcision adhesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $7,079.46 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $281.84 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $851.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $338.84 / $1,995.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $794.33 / $1,737.80
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,047.13 / $1,412.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,122.02 / $1,949.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $245.47 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $676.08 / $1,698.24