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Alaska rates for HCPCS 93990

Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $144.54 / $251.19
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $22.91 / $51.29
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.28 / $117.49 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $223.87 / $457.09
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $31.62 / $77.62
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $194.98 / $389.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $190.55 / $389.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $426.58 / $776.25
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $69.18 / $144.54
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$275.42 / $346.74 / $630.96
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $588.84 / $912.01
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $93.33 / $138.04
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$346.74 / $501.19 / $776.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $208.93 / $380.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $223.87 / $457.09
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $28.84 / $77.62
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $162.18 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $363.08 / $870.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.39 / $67.61 / $181.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.82 / $295.12 / $707.95