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Michigan rates for HCPCS 65175

Removal Ocular Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.40 / $2,056.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,634.69 / $3,070.82 / $4,160.47
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.05 / $2,056.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,748.88 / $6,978.00 / $10,614.92