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Alaska rates for HCPCS 66174

Trluml Dilat Aqueous O/F Can Wo Retention Dev/St

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,324.40 / $1,324.40 / $1,324.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.10 / $3,391.67 / $3,391.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,104.01 / $3,104.01 / $3,104.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.02 / $919.20 / $4,850.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.25 / $1,799.10 / $4,266.85
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,317.50 / $2,688.30 / $4,996.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.20 / $919.20 / $4,850.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.43 / $3,367.50 / $6,077.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,533.97 / $2,483.21 / $7,519.59