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Alaska rates for HCPCS 73503

Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.93 / $56.33 / $56.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.93 / $55.07 / $217.73
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.78 / $14.74 / $45.07
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.14 / $40.33 / $129.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.58 / $131.46 / $210.06
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.61 / $43.47 / $48.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.97 / $87.99 / $164.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.00 / $176.61 / $369.05
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.35 / $38.99 / $112.78
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.88 / $137.79 / $323.38
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.75 / $245.70 / $350.90
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.00 / $58.00 / $87.17
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.75 / $191.70 / $263.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $188.75 / $340.12
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.00 / $58.50 / $88.53
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.23 / $177.00 / $263.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.98 / $133.47 / $335.55
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.07 / $40.15 / $96.99
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.97 / $119.42 / $231.44