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Alaska rates for HCPCS 58752

Tubouterine implantation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,687.48 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,333.10 / $4,333.10 / $5,662.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,089.49 / $3,089.49 / $3,089.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.60 / $4,333.10 / $6,196.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,206.85 / $5,730.90 / $7,411.56
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,411.25 / $3,957.05 / $5,557.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.60 / $4,333.10 / $6,196.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.93 / $3,943.50 / $5,670.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,339.59 / $3,707.40 / $5,541.80