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Alaska rates for HCPCS 73525

Radiologic examination, hip, arthrography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$89.13 / $89.13 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $138.04 / $380.19
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $37.15 / $93.33
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $109.65 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $288.40 / $457.09
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $89.13 / $102.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $263.03 / $363.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $354.81 / $537.03
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $85.11 / $134.90
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.17 / $281.84 / $457.09
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $524.81 / $741.31
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $112.20 / $186.21
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$269.15 / $407.38 / $575.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $269.15 / $363.08
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $52.48 / $102.33
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.62 / $112.20 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $302.00 / $630.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $85.11 / $194.98
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $218.78 / $457.09