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Alaska rates for HCPCS 54660

Insertion of testicular prosthesis (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,872.00 / $8,303.41 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,889.91 / $1,980.63 / $2,286.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.40 / $1,209.40 / $1,209.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.05 / $1,980.63 / $2,832.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.25 / $2,291.10 / $2,926.17
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,363.75 / $1,581.95 / $2,279.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.05 / $1,980.63 / $2,832.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.68 / $1,543.50 / $2,303.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.32 / $1,459.61 / $3,148.17