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Alaska rates for HCPCS 67912

Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,461.88 / $10,175.36 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.41 / $1,051.31 / $6,761.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.92 / $1,335.91 / $6,761.80