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Alaska rates for HCPCS 65112

Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,312.75 / $13,413.92 / $20,143.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,775.82 / $8,283.53 / $8,283.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.18 / $1,538.18 / $4,771.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.80 / $2,219.71 / $11,845.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,622.00 / $4,346.39 / $10,315.10
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,072.50 / $6,087.15 / $8,196.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,219.71 / $2,219.71 / $11,845.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.18 / $6,600.00 / $9,074.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,699.52 / $3,817.30 / $11,559.40