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Michigan rates for HCPCS 66250

Revj/Rpr Oprative Wound Anterior Segment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.88 / $1,050.26 / $5,075.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.68 / $714.88 / $1,000.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.01 / $722.01 / $722.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,865.85 / $2,174.71 / $2,946.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.86 / $547.59 / $1,295.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.41 / $650.63 / $1,002.77
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.25 / $2,877.00 / $5,075.68
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.52 / $757.25 / $1,050.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.99 / $493.58 / $816.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,708.00 / $8,884.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.18 / $873.57 / $1,258.59