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Michigan rates for HCPCS 65125

Modificaj Oc Implt W/Plmt/Rplcmt Pegs Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.12 / $581.16 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.51 / $390.05 / $602.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,932.50 / $2,252.40 / $3,051.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.77 / $260.20 / $690.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.90 / $350.16 / $634.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.12 / $453.71 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.12 / $453.71 / $646.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.76 / $293.08 / $480.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,708.00 / $8,884.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.86 / $530.05 / $712.35