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Alaska rates for HCPCS L0859

Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.20 / $1,055.20 / $1,055.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.19 / $969.19 / $969.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.51 / $707.51 / $707.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.03 / $442.03 / $442.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.20 / $1,303.83 / $1,847.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.03 / $442.03 / $969.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.51 / $1,017.89 / $1,608.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.53 / $1,177.83 / $1,536.32