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Alaska rates for HCPCS Q4177

FlowerAmnioFlo, 0.1 cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.00 / $243.00 / $243.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.00 / $243.00 / $340.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.00 / $225.00 / $225.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.00 / $288.00 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $198.00 / $216.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.00 / $243.00 / $360.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $216.00 / $225.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.00 / $280.91 / $540.00