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Michigan rates for HCPCS 65778

Place Amniotic Membra Ocular Surface W/O Sutures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.97 / $1,659.33 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.14 / $1,064.01 / $1,786.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.92 / $1,562.46 / $1,854.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.07 / $1,093.35 / $1,481.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.45 / $64.73 / $101.97
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$103.86 / $103.86 / $3,007.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.57 / $1,027.39 / $1,856.67
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.09 / $1,659.33 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.90 / $1,304.93 / $1,806.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.63 / $1,277.26 / $1,746.05
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
$1,292.73 / $1,599.27 / $2,156.03