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Michigan rates for HCPCS 65110

Exenteration Orbit Remvl Orbital Contents Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,707.52 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.39 / $1,707.52 / $1,770.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,701.20 / $4,313.87 / $5,844.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.67 / $1,556.10 / $2,917.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.01 / $1,268.08 / $2,425.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.25 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.25 / $1,406.63 / $2,014.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.71 / $893.70 / $1,445.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $7,500.00 / $10,556.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.46 / $1,430.34 / $1,969.18