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Alaska rates for HCPCS 58263

Vag Hyst 250 Gm/< W/Rmvl Tube Ovary W/Rpr Ntrcl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,947.21 / $9,577.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,235.36 / $4,751.89 / $6,795.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,235.36 / $4,751.89 / $6,795.22