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Alaska rates for HCPCS Q4252

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.58 / $98.58 / $98.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $53.00 / $53.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $53.00 / $75.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $98.58 / $140.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $53.00 / $79.50
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.18 / $1,824.00 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.20 / $1,254.00 / $1,368.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $98.58 / $2,280.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $103.22 / $1,710.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.50 / $79.50 / $159.00