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Alaska rates for HCPCS 61703

Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,698.24 / $6,165.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $4,265.80 / $4,265.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,041.74 / $8,709.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $4,365.16 / $8,912.51
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $8,128.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $6,165.95 / $8,912.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,288.25 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $3,548.13 / $8,128.31