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Michigan rates for HCPCS 65150

Reinsertion of ocular implant; with or without conjunctival graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.57 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.62 / $905.57 / $939.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,634.69 / $3,070.82 / $4,160.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.82 / $976.91 / $1,619.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.85 / $666.56 / $1,309.70
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.03 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.03 / $719.96 / $949.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.99 / $473.31 / $761.90
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
$585.59 / $698.03 / $926.73