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Alaska rates for HCPCS 67875

Temporary closure of eyelids by suture (eg, Frost suture)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.11 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.50 / $526.04 / $956.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.94 / $176.94 / $547.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.29 / $215.01 / $1,368.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.28 / $432.63 / $711.59
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.50 / $523.38 / $912.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.85 / $272.50 / $1,368.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.92 / $476.00 / $912.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.55 / $437.88 / $1,325.97