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Alaska rates for HCPCS 61702

Simple Intracranial Arysm Vertebrobasilar Crcj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,285.00 / $11,143.50 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,408.88 / $18,408.88 / $24,428.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,929.60 / $12,929.60 / $12,929.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,696.12 / $18,408.88 / $26,324.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,881.85 / $25,662.00 / $30,757.16
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,275.00 / $17,857.50 / $25,790.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,696.12 / $18,408.88 / $26,324.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,618.78 / $17,565.00 / $26,787.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,343.68 / $15,604.53 / $23,908.87