go back

Alaska rates for HCPCS 54690

Laparoscopy, surgical; orchiectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $10,900.00 / $17,695.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,456.77 / $3,664.82 / $4,274.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,259.31 / $2,259.31 / $2,259.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.00 / $3,664.82 / $5,240.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,595.50 / $4,143.30 / $5,404.04
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,466.25 / $2,860.85 / $4,197.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.00 / $3,664.82 / $5,240.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.03 / $2,841.00 / $4,234.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,661.68 / $2,726.71 / $5,881.15