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Michigan rates for HCPCS 65155

Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,071.52 / $1,584.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $2,137.96 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $933.25 / $2,041.74
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $4,073.80 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,023.29 / $1,380.38
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $870.96 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $6,309.57 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,023.29 / $1,348.96