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Alaska rates for HCPCS 58615

Occlusion Flp Tube Dev Vag/Suprapubic Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.35 / $1,196.35 / $1,519.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.53 / $840.53 / $840.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.56 / $1,196.35 / $1,710.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.20 / $1,600.20 / $2,046.33
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.50 / $1,104.90 / $1,509.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.56 / $1,196.35 / $1,710.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.13 / $1,086.00 / $1,549.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.79 / $1,008.63 / $1,487.64