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Alaska rates for HCPCS 65400

Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,944.94 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,282.91 / $1,282.91 / $1,458.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.75 / $3,285.44 / $3,735.63
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$2,464.08 / $2,464.08 / $2,801.72
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$492.82 / $492.82 / $560.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.17 / $667.17 / $2,193.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.93 / $889.76 / $5,341.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.18 / $1,981.40 / $3,608.50
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,142.50 / $2,794.50 / $3,589.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$889.76 / $1,030.94 / $5,341.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.17 / $2,816.55 / $3,930.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,751.12 / $1,754.64 / $2,631.96