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Alaska rates for HCPCS Q4236

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.90 / $835.90 / $835.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.41 / $449.41 / $449.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.41 / $449.41 / $635.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.65 / $835.90 / $1,195.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.41 / $449.41 / $1,128.58
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.19 / $2,208.00 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.40 / $1,518.00 / $1,656.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.41 / $835.90 / $2,760.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.41 / $605.51 / $1,656.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.12 / $674.12 / $1,348.23