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Michigan rates for HCPCS 66170

Fstlj Sclera Glaucoma Trabeculect Ab Externo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,405.48 / $2,466.50 / $13,628.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,632.67 / $3,068.46 / $4,157.28
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.59 / $2,466.50 / $13,628.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,708.00 / $8,884.00