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Alaska rates for HCPCS 77077

Joint survey, single view, 2 or more joints (specify)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.85 / $52.10 / $56.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.59 / $45.87 / $141.32
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.08 / $16.57 / $67.09
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.51 / $29.29 / $85.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.19 / $112.66 / $165.85
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.03 / $51.00 / $59.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.15 / $61.66 / $109.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.40 / $134.88 / $296.77
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.63 / $51.04 / $140.08
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.31 / $87.33 / $178.20
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.25 / $190.35 / $288.32
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.50 / $66.15 / $109.52
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.75 / $124.20 / $177.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.44 / $138.18 / $256.19
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.00 / $73.50 / $109.52
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.89 / $120.00 / $175.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.48 / $116.73 / $282.05
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.69 / $67.44 / $120.61
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.14 / $70.70 / $161.44