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Alaska rates for HCPCS C1765

Adhesion barrier

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.04 / $1,420.43 / $4,634.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $3.46 / $3.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.98 / $217.98 / $217.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $3.46 / $4.84
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,495.87 / $3,495.87 / $3,495.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $3.46 / $4.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.98 / $217.98 / $2,250,000.00