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Alaska rates for HCPCS V2625

Enlargement of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.61 / $490.48 / $497.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.23 / $213.23 / $213.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.08 / $490.48 / $588.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.54 / $515.30 / $562.69
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.42 / $491.67 / $503.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.25 / $490.48 / $588.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.23 / $368.42 / $603.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.54 / $257.08 / $986.27