go back

Michigan rates for HCPCS 65260

Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,264.83 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.36 / $1,172.53 / $1,311.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,974.50 / $2,301.35 / $3,117.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.47 / $1,373.36 / $2,411.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.73 / $987.20 / $1,780.31
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.98 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.98 / $1,057.96 / $1,505.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.73 / $675.46 / $1,086.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,386.00 / $2,449.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.89 / $1,116.65 / $1,462.73