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Alaska rates for HCPCS C8925

Transesophageal echocardiography (TEE) with contrast, or without contrast followed by with contrast, real time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,706.60 / $2,706.60 / $2,706.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.25 / $855.25 / $855.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.25 / $855.25 / $1,223.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.25 / $855.25 / $1,223.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250,000.00 / $2,250,000.00 / $2,400,000.00