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Alaska rates for HCPCS 92540

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Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.05 / $145.94 / $235.64
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.24 / $100.29 / $176.43
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.81 / $45.65 / $59.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.84 / $110.52 / $355.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.31 / $79.42 / $290.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.52 / $26.32 / $64.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.40 / $304.70 / $388.95
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$142.13 / $220.29 / $228.60
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.27 / $81.61 / $84.42
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.24 / $201.60 / $432.00
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.00 / $158.19 / $306.45
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.65 / $47.00 / $125.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.85 / $170.48 / $456.00
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.42 / $133.06 / $339.00
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.49 / $44.85 / $117.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.05 / $273.31 / $284.70
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.04 / $196.75 / $222.08
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.67 / $62.62 / $63.00