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Michigan rates for HCPCS 0730T

Trabeculotomy By Laser Including Oct Guidance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.33 / $878.00 / $6,906.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.26 / $256.33 / $269.47
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.33 / $4,933.00 / $6,907.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.68 / $256.33 / $275.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $50.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.00 / $4,566.00 / $6,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.98 / $347.68 / $445.63