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Alaska rates for HCPCS 75805

Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,221.89 / $8,221.89 / $8,221.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,806.02 / $13,806.02 / $13,806.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.94 / $683.24 / $894.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.56 / $50.56 / $11,757.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.02 / $257.02 / $367.18
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.75 / $1,035.45 / $1,727.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.56 / $60.67 / $13,806.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.84 / $1,159.50 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,672.75 / $3,912.57 / $8,085.38