go back

Alaska rates for HCPCS 67570

Optic nerve decompression (eg, incision or fenestration of optic nerve sheath)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,606.76 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,597.65 / $6,927.52 / $6,927.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.23 / $1,109.23 / $4,003.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.10 / $1,866.25 / $9,906.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,029.25 / $3,635.10 / $8,551.06
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,243.75 / $5,123.25 / $6,949.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,866.25 / $1,866.25 / $9,906.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.83 / $5,390.55 / $7,454.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.50 / $3,203.06 / $9,699.37