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Alaska rates for HCPCS 77074

Radiologic examination, osseous survey; limited (eg, for metastases)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$65.23 / $65.23 / $65.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.02 / $77.81 / $195.37
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.57 / $23.58 / $71.84
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.42 / $54.25 / $123.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.39 / $192.53 / $231.72
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.40 / $68.88 / $77.89
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.98 / $115.59 / $159.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.50 / $190.20 / $412.17
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.13 / $61.49 / $179.79
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.74 / $130.02 / $307.26
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.75 / $264.60 / $397.83
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.50 / $84.50 / $140.81
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$157.50 / $180.90 / $259.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.73 / $234.00 / $397.83
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.00 / $94.50 / $140.81
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.65 / $172.50 / $267.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.44 / $157.60 / $332.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.66 / $64.84 / $156.66
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.67 / $115.58 / $232.43