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Alaska rates for HCPCS 54861

Epididymectomy Bilateral

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
$539.04 / $2,994.82 / $3,161.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,940.39 / $1,940.39 / $1,940.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.79 / $3,161.73 / $4,521.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.85 / $3,601.50 / $4,667.59
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,143.75 / $2,486.75 / $3,612.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.79 / $3,161.73 / $4,521.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.53 / $2,457.00 / $3,654.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,552.32 / $1,556.52 / $3,880.80