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Alaska rates for HCPCS 77075

Radiologic examination, osseous survey; complete (axial and appendicular skeleton)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.24 / $82.24 / $82.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.43 / $113.31 / $295.68
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.17 / $27.03 / $101.89
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.26 / $86.27 / $205.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.40 / $287.33 / $354.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.74 / $83.02 / $97.41
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.67 / $190.23 / $263.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.62 / $288.20 / $619.19
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.08 / $77.06 / $225.42
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$167.77 / $212.52 / $506.42
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.00 / $403.65 / $598.98
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.25 / $105.30 / $176.57
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$228.75 / $298.35 / $422.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.93 / $319.80 / $575.89
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.00 / $118.50 / $176.57
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.31 / $283.50 / $422.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.77 / $239.42 / $578.49
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.61 / $81.08 / $195.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.16 / $158.34 / $375.15