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Alaska rates for HCPCS 78226

Hepatobiliary system imaging, including gallbladder when present;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$108.39 / $108.39 / $108.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.52 / $600.99 / $866.94
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.39 / $54.19 / $119.38
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$270.12 / $316.08 / $747.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.37 / $968.37 / $995.48
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.91 / $115.91 / $128.16
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$840.21 / $840.21 / $879.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.20 / $844.23 / $1,522.50
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.30 / $99.96 / $107.29
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$620.25 / $744.30 / $798.88
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.50 / $1,201.50 / $1,592.10
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.75 / $139.05 / $188.49
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$958.75 / $1,062.45 / $1,403.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.20 / $1,190.00 / $2,218.73
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.60 / $154.50 / $237.64
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$879.56 / $1,252.50 / $1,981.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.03 / $798.96 / $1,162.05
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.65 / $102.54 / $153.81
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$457.38 / $672.16 / $1,008.24