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Alaska rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.21 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,032.61 / $7,301.00 / $7,301.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,605.00 / $1,932.86 / $10,440.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,181.28 / $3,817.53 / $9,194.14
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,738.75 / $5,310.90 / $7,199.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,932.86 / $1,932.86 / $10,440.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800.73 / $6,426.75 / $8,685.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.06 / $3,496.12 / $10,586.81