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Michigan rates for HCPCS 66991

Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion of intraocular (eg, trabecular meshwork, supraciliary, suprachoroidal) anterior segment aqueous drainage device, without extraocular reservoir, internal approach, one or more

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.66 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$175.73 / $175.73 / $182.24
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$659.00 / $659.00 / $683.40
Aetna
Facility/Professional
Facility
Modifier
55
Low / Median / High Price
$131.80 / $131.80 / $136.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.54 / $675.56 / $1,113.95
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$95.58 / $131.80 / $136.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.33 / $669.33 / $1,158.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,939.32 / $8,088.02 / $10,957.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.85 / $600.23 / $1,124.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.24 / $760.28 / $1,342.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.21 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$175.73 / $175.73 / $175.73
Health Alliance Plan
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$659.00 / $659.00 / $659.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
55
Low / Median / High Price
$131.80 / $131.80 / $131.80
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.66 / $716.81 / $911.20
Health Alliance Plan
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$105.51 / $131.80 / $136.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.25 / $434.51 / $730.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,986.00 / $7,519.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.67 / $859.84 / $1,122.34