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Alaska rates for HCPCS 58291

Vag Hyst > 250 Gm Rmvl Tube&/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,696.26 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,372.83 / $5,959.62 / $6,541.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,277.09 / $4,277.09 / $4,277.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,546.27 / $5,959.62 / $8,522.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.55 / $7,841.40 / $10,186.28
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,667.50 / $5,414.30 / $7,730.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,546.27 / $5,959.62 / $8,522.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,691.00 / $5,437.50 / $7,938.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,205.65 / $5,132.49 / $8,554.15