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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
$1,247.28 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.03 / $1,247.28 / $1,293.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.36 / $3,838.53 / $5,200.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.70 / $1,421.73 / $2,372.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.25 / $928.91 / $1,785.67
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.42 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.42 / $1,019.56 / $1,450.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.73 / $658.42 / $1,062.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $6,649.00 / $9,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.37 / $1,016.28 / $1,353.38