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Alaska rates for HCPCS 67121

Rmvl Implt Matrl Posterior Segment Intraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,584.94 / $8,303.41 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.31 / $1,315.20 / $7,099.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,315.20 / $1,315.20 / $7,099.79