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Alaska rates for HCPCS 65093

Evisceration Ocular Contents W/Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.16 / $1,093.20 / $5,661.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,093.20 / $1,093.20 / $5,661.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,542.00 / $7,542.00 / $7,542.00