go back

Alaska rates for HCPCS 76145

Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.52 / $8,627.33 / $16,195.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,522.61 / $2,522.61 / $2,522.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,327.39 / $2,327.39 / $2,327.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,046.75 / $2,046.75 / $2,429.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,607.33 / $3,607.33 / $3,607.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.73 / $2,866.56 / $5,169.50
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,038.75 / $3,672.00 / $5,405.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,327.39 / $3,455.98 / $3,607.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,716.29 / $3,400.00 / $5,554.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.13 / $1,987.60 / $2,998.50