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Michigan rates for HCPCS 65420

Excision or transposition of pterygium; without graft

Facilitymedian $2,884 · 10th–90th $692–$4,8980%20%10th90th$2,884Professionalmedian $537 · 10th–90th $363–$8510%10%20%10th90th$537$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $524.81 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $602.56 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $457.09 / $1,000.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $2,884.03 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $588.84 / $891.25
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $446.68 / $776.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $4,073.80 / $7,585.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $524.81 / $724.44