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Michigan rates for HCPCS 66175

Trluml Dilat Aqueous O/F Can W/Retention Dev/St

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.00 / $4,933.00 / $5,757.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,121.10 / $4,803.29 / $6,507.69
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,188.55 / $4,933.00 / $5,757.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,030.00 / $12,726.00