go back

Michigan rates for HCPCS 65286

Repair of laceration; application of tissue glue, wounds of cornea and/or sclera

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.48 / $928.36 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.56 / $662.13 / $928.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.54 / $917.91 / $1,243.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.19 / $730.53 / $1,150.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.57 / $607.23 / $894.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.32 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.42 / $688.32 / $956.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.99 / $451.97 / $760.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $3,569.00 / $6,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.61 / $810.87 / $1,117.41