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Alaska rates for HCPCS L8642

Hallux Implant (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.19 / $328.19 / $328.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.83 / $302.83 / $302.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.41 / $302.83 / $311.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.76 / $109.76 / $109.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.20 / $350.20 / $350.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.76 / $109.76 / $302.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.41 / $311.93 / $357.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.66 / $256.16 / $256.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.68 / $226.68 / $434.47