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Alaska rates for HCPCS 92015

Determination of refractive state

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.50 / $83.50 / $83.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.02 / $25.78 / $56.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $18.00 / $22.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.19 / $25.78 / $67.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $53.37 / $74.28
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.20 / $46.75 / $76.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.02 / $26.04 / $116.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $42.75 / $84.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.14 / $48.98 / $84.78