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Alaska rates for HCPCS 78215

Liver and spleen imaging; static only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$71.84 / $71.84 / $71.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.49 / $528.49 / $1,156.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.77 / $516.77 / $577.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.48 / $523.04 / $943.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.75 / $737.10 / $986.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.48 / $701.25 / $1,302.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.96 / $462.30 / $693.45