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Michigan rates for HCPCS 25915

Krukenberg procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,496.91 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.58 / $1,480.13 / $1,554.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,744.12 / $5,568.20 / $7,544.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.27 / $1,490.35 / $2,861.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.55 / $1,429.01 / $2,470.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.49 / $1,496.91 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.49 / $1,260.96 / $1,874.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.57 / $787.11 / $1,350.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.43 / $1,408.98 / $1,860.80