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Alaska rates for HCPCS 75872

Venography, epidural, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.34 / $360.34 / $360.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.84 / $396.84 / $540.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,711.90 / $2,711.90 / $2,711.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.10 / $428.14 / $455.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.62 / $148.62 / $567.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.52 / $372.63 / $828.52
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.00 / $556.79 / $887.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.62 / $178.34 / $2,711.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.77 / $465.60 / $887.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.82 / $437.28 / $879.40