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Alaska rates for HCPCS 65103

Enucleation Eye Implt Musc X Attached Implt

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
$1,050.18 / $1,302.24 / $6,756.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,302.24 / $1,302.24 / $6,756.52