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Michigan rates for HCPCS 65135

Insertion of ocular implant secondary; after enucleation, muscles not attached to implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,114.83 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.27 / $1,114.83 / $1,156.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,073.82 / $3,582.65 / $4,853.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.79 / $844.92 / $2,117.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.00 / $794.23 / $1,602.33
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.42 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.42 / $890.70 / $1,210.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.22 / $566.25 / $953.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,748.88 / $6,978.00 / $10,614.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.93 / $899.57 / $1,187.80