go back

Alaska rates for HCPCS 69726

Removal Entire Oi Implt Skl Perq Attachment Esp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,872.00 / $8,303.41 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,299.17 / $2,299.17 / $2,299.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,418.42 / $1,418.42 / $1,418.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.08 / $2,299.17 / $3,287.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.25 / $3,015.60 / $3,781.18
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,795.00 / $2,082.19 / $2,692.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.08 / $2,299.17 / $3,287.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.40 / $1,836.00 / $2,729.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.18 / $1,134.74 / $1,711.87