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Michigan rates for HCPCS 0308T

Insertion of ocular telescope prosthesis including removal of crystalline lens or intraocular lens prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,455.89 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.01 / $1,455.89 / $1,509.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,120.36 / $54,841.00 / $126,467.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,069.88 / $10,216.93 / $15,349.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,653.40 / $2,653.40 / $2,653.40
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,267.72 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.72 / $1,455.89 / $2,259.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,798.00 / $14,145.00 / $20,603.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.88 / $1,642.42 / $2,184.67