go back

Alaska rates for HCPCS 54522

Orchiectomy Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.35 / $3,107.97 / $3,278.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.84 / $2,020.84 / $2,020.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.76 / $3,278.66 / $4,688.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.95 / $3,721.20 / $4,833.34
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,215.00 / $2,569.40 / $3,766.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.76 / $3,278.66 / $4,688.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.88 / $2,551.50 / $3,802.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,492.42 / $2,438.90 / $5,260.38