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Alaska rates for HCPCS 68850

Injection of contrast medium for dacryocystography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.18 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.30 / $290.80 / $324.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.37 / $88.15 / $203.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.74 / $70.39 / $415.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.49 / $167.88 / $392.92
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.50 / $233.55 / $341.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.74 / $76.48 / $445.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.03 / $191.25 / $329.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.70 / $164.68 / $247.02