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Alaska rates for HCPCS 54420

Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,711.54 / $3,922.60 / $4,571.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,419.17 / $2,419.17 / $2,419.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.74 / $3,922.60 / $5,609.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,710.33 / $4,441.50 / $5,782.99
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,643.75 / $3,066.75 / $4,496.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.74 / $3,922.60 / $5,609.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.10 / $3,049.50 / $4,540.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,782.83 / $2,919.66 / $6,297.32