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Alaska rates for HCPCS 64862

Suture Lumbar Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,954.79 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.14 / $6,533.24 / $6,533.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,393.82 / $4,569.58 / $5,841.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.41 / $6,533.24 / $9,146.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,360.00 / $4,032.00 / $8,185.35
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,378.00 / $6,024.75 / $8,376.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.41 / $6,533.24 / $9,146.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,047.92 / $6,024.06 / $9,114.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,655.66 / $5,514.95 / $8,316.62