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Alaska rates for HCPCS 65125

Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$823.83 / $9,577.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,582.35 / $1,901.55 / $2,381.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.00 / $456.00 / $1,409.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.18 / $539.57 / $3,406.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.63 / $1,094.18 / $2,001.40
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.30 / $1,628.75 / $2,417.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.53 / $684.60 / $3,406.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.25 / $1,445.50 / $2,417.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.40 / $1,127.74 / $3,414.98