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Alaska rates for HCPCS 74742

Transcervical catheterization of fallopian tube, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.65 / $247.65 / $247.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.94 / $267.66 / $956.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.86 / $37.86 / $354.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.46 / $83.46 / $119.23
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.50 / $332.10 / $556.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.86 / $45.43 / $354.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.40 / $448.20 / $2,475,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.93 / $438.33 / $854.56