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Michigan rates for HCPCS 67027

Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.42 / $1,131.84 / $6,906.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,686.10 / $4,296.28 / $5,820.77
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.18 / $1,091.42 / $6,906.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,030.00 / $12,726.00