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Alaska rates for HCPCS 87631

Iadna Respiratry Probe & Rev Trnscr 3-5 Targets

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.14 / $211.09 / $1,371.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.36 / $164.87 / $477.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.02 / $394.02 / $394.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.02 / $94.02 / $198.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.06 / $283.89 / $683.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.63 / $142.63 / $459.27
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.04 / $699.04 / $827.51
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.37 / $320.92 / $320.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.02 / $683.27 / $827.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.02 / $198.18 / $392.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.34 / $316.76 / $430.34