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Alaska rates for HCPCS 55862

Expos Prostate Insj Radioact Sbst W/Lymph Bx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,253.75 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,767.99 / $6,134.81 / $7,156.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,790.42 / $3,790.42 / $3,790.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.04 / $6,134.81 / $8,772.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,651.60 / $6,885.90 / $9,031.43
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,098.75 / $4,754.55 / $6,996.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.04 / $6,134.81 / $8,772.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.65 / $4,750.50 / $7,078.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,770.89 / $4,574.60 / $7,580.85