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Michigan rates for HCPCS 67015

Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,715.35 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $660.69 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $954.99 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $630.96 / $1,288.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $660.69 / $933.25
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $562.34 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,365.16 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $676.08 / $891.25