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Alaska rates for HCPCS Q4143

Repriza, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.09 / $63.09 / $63.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $48.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $63.09 / $88.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $47.49
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,495.87 / $3,495.87 / $3,495.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $63.09 / $88.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $37.10 / $40.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.88 / $50.88 / $101.76