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Michigan rates for HCPCS 65426

Excision or transposition of pterygium; with graft

Facilitymedian $4,898 · 10th–90th $676–$7,5860%10%20%10th90th$4,898Professionalmedian $692 · 10th–90th $427–$1,2020%10%10th90th$692$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
$676.08 / $4,897.79 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $660.69 / $1,202.26
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,071.52 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $562.34 / $1,230.27
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $4,897.79 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $741.31 / $1,202.26
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $549.54 / $851.14
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
$478.63 / $660.69 / $912.01