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Alaska rates for HCPCS 67440

Orbitotomy Bone Flap/Window Lateral W/Drg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,798.07 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,786.30 / $7,294.98 / $7,294.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,570.64 / $1,570.64 / $4,112.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.73 / $1,975.86 / $10,431.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,201.50 / $3,841.80 / $9,010.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,347.50 / $5,413.50 / $7,244.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,975.86 / $1,975.86 / $10,431.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,391.00 / $5,621.55 / $7,731.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,410.86 / $3,290.40 / $9,963.86