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Alaska rates for HCPCS 73050

Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.84 / $32.36 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $38.90 / $85.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $12.02 / $37.15
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $25.70 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $93.33 / $109.65
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.50 / $31.62 / $33.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.66 / $74.13 / $77.62
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.90 / $32.36 / $38.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $81.28 / $125.89
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.49 / $28.18 / $44.67
Moda Health
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$53.70 / $53.70 / $53.70
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.67 / $56.23 / $79.43
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $131.83 / $208.93
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $38.90 / $64.57
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.28 / $93.33 / $144.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $70.79 / $85.11
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.76 / $19.50 / $33.11
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.62 / $35.48 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $87.10 / $190.55
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $29.51 / $66.07
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.98 / $56.23 / $117.49