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Alaska rates for HCPCS 86162

Complement; total hemolytic (CH50)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.81 / $185.00 / $264.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.69 / $68.06 / $77.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.14 / $56.14 / $56.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $23.54 / $29.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.72 / $17.72 / $17.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.32 / $20.32 / $81.28
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.12 / $78.23 / $131.06
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.29 / $45.72 / $252.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.72 / $17.72 / $71.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.32 / $26.27 / $29.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $40.64 / $61.31