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Alaska rates for HCPCS 65155

Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant

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
$1,406.38 / $5,220.29 / $5,220.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.91 / $1,154.91 / $2,899.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,156.98 / $1,430.11 / $7,465.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,308.73 / $2,770.47 / $6,454.55
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,050.00 / $3,896.10 / $5,224.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,430.11 / $1,430.11 / $7,465.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.00 / $3,938.55 / $5,420.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,542.00 / $7,542.00 / $7,542.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.59 / $2,319.23 / $7,023.03