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Alaska rates for HCPCS D0170

Re-Evaluation - Limited, Problem Focused (Established Patient; Not Post-Operative Visit)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.82 / $21.41 / $31.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.28 / $22.28 / $22.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.51 / $31.79 / $44.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.62 / $28.03 / $31.06
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,495.87 / $3,495.87 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.00 / $105.00 / $109.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.80 / $31.79 / $44.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.03 / $105.00 / $2,400,000.00