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Alaska rates for HCPCS Q4233

SurFactor or NuDyn, per 0.5 cc

Facilitymedian $6,166 · 10th–90th $3,467–$9,5500%20%10th90th$6,166Professionalmedian $5,129 · 10th–90th $5,129–$5,1290%50%100%$5,129$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $5,128.61
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $6,165.95 / $9,549.93
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $5,128.61
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $3,467.37
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $6,165.95 / $9,549.93