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Michigan rates for HCPCS 65112

Exenteration Orbit Rmvl Orbit Contents & Bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,955.94 / $4,933.00 / $6,853.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.33 / $1,955.94 / $2,028.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,825.20 / $4,458.39 / $6,040.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.22 / $2,230.46 / $3,512.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.83 / $1,456.83 / $2,772.73
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,401.52 / $4,933.00 / $6,853.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.52 / $1,644.66 / $2,327.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.71 / $1,019.52 / $1,652.13
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
$1,428.49 / $1,689.92 / $2,251.40