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Alaska rates for HCPCS 65855

Trabeculoplasty by laser surgery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.82 / $7,340.00 / $13,413.92
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$445.95 / $475.68 / $558.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.49 / $341.21 / $1,340.33
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$856.54 / $913.64 / $1,005.25
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$171.31 / $171.31 / $201.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.02 / $742.18 / $799.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.03 / $297.57 / $1,916.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.48 / $687.42 / $1,272.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.25 / $986.85 / $1,387.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.57 / $360.44 / $1,916.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.73 / $996.60 / $1,411.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.01 / $639.20 / $1,935.60