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Alaska rates for HCPCS 75774

Angrph Slctv Ea Vsl Studied After Basic Xm Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$143.94 / $143.94 / $143.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.06 / $179.45 / $301.62
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.71 / $18.38 / $158.53
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$129.36 / $143.09 / $161.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.53 / $267.55 / $341.35
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.28 / $70.09 / $170.30
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.43 / $167.03 / $212.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.08 / $278.49 / $630.91
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.98 / $135.32 / $394.62
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.81 / $146.52 / $351.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.25 / $390.15 / $612.50
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.70 / $183.60 / $267.14
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$188.75 / $231.00 / $392.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.21 / $298.39 / $583.10
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.74 / $170.00 / $265.51
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$184.80 / $249.00 / $392.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.02 / $337.33 / $678.39
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.46 / $136.25 / $292.92
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$132.30 / $200.43 / $335.90