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Alaska rates for HCPCS 54250

Nocturnal penile tumescence and/or rigidity test

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.05 / $690.32 / $790.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.73 / $422.73 / $422.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.35 / $764.40 / $1,012.31
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.00 / $527.79 / $767.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.25 / $526.50 / $780.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.16 / $510.18 / $1,100.39