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Alaska rates for HCPCS 65103

Enucleation of eye; with implant, muscles not attached to implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $10,964.78 / $16,595.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,096.48 / $4,677.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,122.02 / $6,760.83