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Alaska rates for HCPCS 84255

Selenium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.78 / $174.48 / $295.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.50 / $85.53 / $97.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.51 / $70.51 / $70.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $29.32 / $36.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.24 / $22.24 / $22.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.53 / $25.53 / $102.12
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.36 / $98.29 / $164.67
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.98 / $57.44 / $57.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.24 / $22.24 / $89.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.53 / $33.00 / $36.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.05 / $51.06 / $77.03