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Michigan rates for HCPCS 65103

Enucleation of eye; with implant, muscles not attached to implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $4,073.80 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $6,309.57 / $10,471.29