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Alaska rates for HCPCS 67015

Aspiration/Release Vitreous Subretinal/Choroidal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,464.00 / $6,782.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.91 / $3,285.87 / $3,285.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.18 / $726.18 / $1,913.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.71 / $888.39 / $4,698.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.90 / $1,735.08 / $4,100.38
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,072.50 / $2,430.00 / $3,272.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.39 / $888.39 / $4,698.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.00 / $2,707.65 / $3,721.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.49 / $1,531.04 / $4,636.22