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Alaska rates for HCPCS Q4218

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.50 / $202.50 / $202.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $202.50 / $283.50
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
$150.00 / $202.50 / $300.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $165.00 / $225.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.00 / $225.00 / $450.00