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Alaska rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,922.49 / $3,922.49 / $3,922.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,214.74 / $3,214.74 / $3,214.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.53 / $3,214.74 / $3,311.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.07 / $1,165.07 / $1,165.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.16 / $4,042.71 / $6,047.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.07 / $1,165.07 / $3,214.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.53 / $3,311.18 / $4,675.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.73 / $2,234.73 / $4,283.24