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Alaska rates for HCPCS 67141

Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.83 / $7,340.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.82 / $1,170.83 / $1,432.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.91 / $724.91 / $1,690.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.82 / $323.07 / $2,048.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.55 / $708.70 / $1,398.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.70 / $1,158.55 / $2,575.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.26 / $402.91 / $2,048.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.00 / $1,690.92 / $3,180.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.67 / $1,352.74 / $4,096.31