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Alaska rates for HCPCS 70110

Radiologic examination, mandible; complete, minimum of 4 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.93 / $36.93 / $36.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.67 / $43.59 / $141.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.60 / $12.35 / $43.32
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.05 / $31.24 / $88.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.79 / $109.86 / $155.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.16 / $38.86 / $44.52
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.64 / $71.00 / $115.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.09 / $127.11 / $272.14
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.10 / $35.60 / $101.79
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.08 / $92.19 / $219.83
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $176.85 / $265.97
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.00 / $52.20 / $80.45
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$96.25 / $129.60 / $185.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.48 / $141.25 / $253.16
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.00 / $54.00 / $80.45
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.00 / $124.50 / $185.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.81 / $111.69 / $253.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.89 / $53.34 / $89.55
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.92 / $81.62 / $156.19