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Alaska rates for HCPCS G0117

Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.54 / $72.47 / $103.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.24 / $56.24 / $56.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.52 / $183.39 / $215.61
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $117.00 / $257.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.24 / $92.50 / $234.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.63 / $134.86 / $162.40