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Alaska rates for HCPCS 78140

Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.72 / $292.72 / $292.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.36 / $322.36 / $655.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.33 / $340.33 / $364.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.97 / $460.97 / $460.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.15 / $318.30 / $574.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.50 / $442.80 / $600.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.97 / $460.97 / $460.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.15 / $410.00 / $751.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.22 / $272.26 / $408.39