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Alaska rates for HCPCS 67105

Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.77 / $9,577.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.54 / $1,496.07 / $1,603.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.88 / $953.43 / $1,128.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.90 / $404.19 / $2,292.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.88 / $853.95 / $1,540.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.00 / $1,193.40 / $1,766.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.19 / $438.29 / $2,292.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.11 / $1,359.75 / $1,903.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.74 / $766.50 / $2,309.69