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Alaska rates for HCPCS E1230

Power operated vehicle (three- or four-wheel nonhighway), specify brand name and model number

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,691.53 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,778.28 / $1,819.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $1,862.09 / $2,511.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,630.27 / $8,511.38
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $263.03 / $2,754.23
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $549.54 / $2,570.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,778.28 / $2,630.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,778.28 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $831.76 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,454.71 / $4,466.84