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Alaska rates for HCPCS A4615

Cannula Nasal (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 3312)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $15.30 / $36.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.97 / $0.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $0.97 / $1.53
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $0.89 / $1.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.94 / $2.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.85 / $1.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.82 / $1.79