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Alaska rates for HCPCS 65130

Insj Oc Implt Sec After Evsc Scll Shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,210.49 / $4,592.60 / $4,592.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.66 / $852.66 / $2,521.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.93 / $1,266.49 / $6,567.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,037.03 / $2,444.42 / $5,661.68
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,646.25 / $3,447.90 / $4,609.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.49 / $1,266.49 / $6,567.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.00 / $3,407.25 / $4,691.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.49 / $2,016.88 / $6,107.44