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Alaska rates for HCPCS 78121

Red cell volume determination (separate procedure); multiple samplings

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.55 / $202.55 / $202.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.08 / $223.08 / $459.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.58 / $207.58 / $234.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $319.00 / $319.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.93 / $274.62 / $495.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.75 / $353.75 / $517.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $319.00 / $319.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.93 / $288.75 / $566.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.84 / $187.46 / $281.19