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Alaska rates for HCPCS A2007

Restrata, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.70 / $326.70 / $326.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.70 / $205.70 / $205.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.70 / $205.70 / $205.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.00 / $326.70 / $457.38
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.80 / $387.20 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.70 / $266.20 / $290.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.00 / $326.70 / $484.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.70 / $275.00 / $290.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.00 / $330.00 / $660.00