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Michigan rates for HCPCS 65290

Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$631.33 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.47 / $631.33 / $654.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,634.69 / $3,070.82 / $4,160.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.76 / $722.07 / $1,137.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.97 / $506.54 / $959.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.37 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.63 / $534.15 / $787.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.98 / $357.47 / $560.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $7,500.00 / $10,556.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.61 / $571.89 / $857.26