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Alaska rates for HCPCS 67229

Extensive Retinopathy 1/> Sess Preterm Infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,328.18 / $8,303.41 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.20 / $6,142.88 / $6,392.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,835.17 / $3,835.17 / $3,835.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,397.53 / $1,676.73 / $9,141.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,767.25 / $3,320.70 / $8,034.99
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,142.50 / $4,627.80 / $6,262.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,676.73 / $1,676.73 / $9,141.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.88 / $5,436.75 / $7,476.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.42 / $3,068.14 / $9,290.82