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Alaska rates for HCPCS 85220

Clotting; factor V (AcG or proaccelerin), labile factor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.12 / $121.81 / $204.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.25 / $59.13 / $67.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.75 / $48.75 / $48.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.89 / $20.65 / $25.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.00 / $16.00 / $16.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.64 / $17.64 / $70.59
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.77 / $67.95 / $113.81
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.89 / $39.71 / $39.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.00 / $16.00 / $61.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.64 / $20.71 / $23.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $35.29 / $53.25