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Alaska rates for HCPCS 65779

Placement of amniotic membrane on the ocular surface; single layer, sutured

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
$285.85 / $1,204.01 / $5,687.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.46 / $509.46 / $3,551.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.82 / $1,193.01 / $8,132.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.76 / $1,639.23 / $4,110.89
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.20 / $1,323.30 / $6,014.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.28 / $1,193.01 / $8,132.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.25 / $1,147.46 / $6,375.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,772.74 / $2,841.36 / $8,604.09