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Alaska rates for HCPCS 84376

Sugars Mono Di&Oligos 1 Qualitataive Each Spec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.85 / $40.79 / $64.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $18.43 / $23.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.22 / $15.22 / $15.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $6.20 / $7.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $4.80 / $4.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $22.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.25 / $21.18 / $35.46
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $12.38 / $12.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $4.80 / $19.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $7.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $11.00 / $16.59