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Michigan rates for HCPCS 15822

Blepharoplasty, upper eyelid;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.61 / $532.11 / $7,519.61
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$870.55 / $870.55 / $870.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,817.95 / $2,118.89 / $2,870.76
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$974.13 / $1,495.35 / $1,946.45
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$954.69 / $954.69 / $1,102.49
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.75 / $532.11 / $5,756.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$870.55 / $870.55 / $870.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,527.00 / $3,640.00 / $6,740.00