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Alaska rates for HCPCS 67115

Release Encircling Material Posterior Segment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,872.00 / $8,303.41 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,641.19 / $2,711.53 / $2,711.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.13 / $657.13 / $1,613.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.99 / $734.98 / $3,877.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.25 / $1,439.10 / $3,413.26
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,773.75 / $2,004.75 / $2,713.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.98 / $734.98 / $3,877.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.00 / $2,326.50 / $3,206.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.54 / $1,291.11 / $3,909.72