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Alaska rates for HCPCS C1789

Prosthesis, breast (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,834.00 / $6,834.00 / $9,330.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.32 / $402.32 / $402.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.93 / $1,054.93 / $1,054.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.32 / $402.32 / $402.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.32 / $402.32 / $402.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.93 / $1,054.93 / $1,054.93