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Alaska rates for HCPCS 62304

Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.53 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.71 / $633.21 / $1,175.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.12 / $394.64 / $914.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.86 / $286.62 / $837.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.69 / $630.59 / $1,620.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.00 / $692.00 / $1,363.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.86 / $286.62 / $1,610.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.51 / $604.50 / $1,261.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.00 / $424.00 / $424.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.98 / $668.39 / $1,284.88