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Alaska rates for HCPCS 65778

Place Amniotic Membra Ocular Surface W/O Sutures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,464.00 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.39 / $1,117.89 / $6,509.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.75 / $188.75 / $4,047.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.14 / $440.54 / $9,309.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.85 / $1,332.66 / $4,644.12
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.60 / $3,208.22 / $6,939.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.13 / $440.54 / $9,309.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.50 / $1,082.64 / $7,438.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,959.50 / $3,259.62 / $9,804.09