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Alaska rates for HCPCS 54692

Laparoscopy Orchiopexy Intra-Abdominal Testis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,245.71 / $10,900.00 / $17,695.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.53 / $853.61 / $4,234.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,617.46 / $2,617.46 / $2,617.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.55 / $4,234.20 / $6,054.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,835.68 / $4,767.00 / $6,237.47
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,837.50 / $3,291.50 / $4,842.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.55 / $4,234.20 / $6,054.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.15 / $3,285.00 / $4,892.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,093.98 / $2,093.98 / $5,234.95