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Alaska rates for HCPCS 65135

Insertion of ocular implant secondary; after enucleation, muscles not attached to implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,421.64 / $8,303.41 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.22 / $4,651.26 / $4,651.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.45 / $684.45 / $2,556.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.35 / $1,280.92 / $6,651.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,061.28 / $2,473.53 / $5,735.17
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,683.75 / $3,489.75 / $4,664.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.92 / $1,280.92 / $6,651.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.88 / $3,456.75 / $4,758.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.35 / $1,919.84 / $6,193.37