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Michigan rates for HCPCS 00142

Anesthesia Eye Lens Surgery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $262.50 / $346.10
Aetna
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$255.75 / $255.75 / $255.75
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$386.25 / $392.00 / $434.60
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$180.86 / $300.30 / $364.32
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$156.34 / $277.20 / $277.20
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$355.60 / $627.00 / $836.00
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$127.62 / $127.62 / $127.62
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$74.45 / $79.76 / $126.56
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$120.36 / $127.62 / $127.62
BCBS
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$78.31 / $179.15 / $203.40
BCBS
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$147.91 / $338.39 / $384.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.35 / $494.90 / $494.90
Cigna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$150.00 / $150.00 / $538.27
Cigna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$150.00 / $150.00 / $538.27
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.00 / $260.00 / $346.10
Health Alliance Plan
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$255.75 / $255.75 / $255.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$386.25 / $392.00 / $434.60
Health Alliance Plan
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$193.13 / $303.07 / $392.04
Health Alliance Plan
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$156.34 / $277.20 / $277.20
Health Alliance Plan
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$355.60 / $504.00 / $836.00