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Alaska rates for HCPCS 73702

Ct Lower Extremity W/O & W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$179.94 / $179.94 / $179.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.40 / $393.43 / $779.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.78 / $88.26 / $256.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.14 / $337.38 / $523.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.27 / $700.87 / $864.80
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.85 / $186.67 / $213.07
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$211.42 / $487.80 / $678.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.73 / $576.41 / $1,255.05
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$137.47 / $169.18 / $417.73
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$318.07 / $411.45 / $837.32
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.50 / $962.50 / $1,466.16
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$212.50 / $229.50 / $384.42
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$530.00 / $746.25 / $1,081.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.38 / $760.42 / $1,466.16
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$186.67 / $258.00 / $384.42
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$538.75 / $746.25 / $1,206.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.35 / $841.05 / $2,254.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.99 / $255.69 / $587.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$390.23 / $390.24 / $1,667.00