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Alaska rates for HCPCS 58976

Gamete, zygote, or embryo intrafallopian transfer, any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.17 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.05 / $1,209.51 / $1,371.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.32 / $732.32 / $846.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.50 / $1,209.51 / $1,693.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.70 / $1,331.40 / $1,746.53
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.55 / $1,060.50 / $1,410.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.50 / $1,209.51 / $1,693.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.38 / $972.50 / $1,454.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.84 / $1,015.56 / $1,499.23