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Alaska rates for HCPCS Q4193

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,591.19 / $2,591.19 / $2,591.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,393.12 / $1,393.12 / $1,393.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.12 / $1,393.12 / $1,971.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.18 / $2,591.19 / $3,627.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.12 / $1,393.12 / $1,811.06
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,276.00 / $3,744.00 / $5,148.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.00 / $2,574.00 / $2,808.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,393.12 / $2,591.19 / $4,680.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.12 / $2,480.40 / $2,808.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.67 / $2,089.67 / $4,179.35