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Alaska rates for HCPCS 67040

Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,974.83 / $13,413.92 / $20,143.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.21 / $1,392.22 / $5,713.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,517.51 / $2,517.51 / $3,425.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.08 / $1,502.36 / $8,170.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,478.55 / $2,974.26 / $7,187.85
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,705.00 / $4,141.80 / $6,689.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,502.36 / $1,502.36 / $8,170.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.90 / $4,857.60 / $6,793.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,624.69 / $2,740.20 / $8,297.76