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Michigan rates for HCPCS 67030

Discission Vitreous Strans Pars Plana Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.17 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.39 / $715.17 / $741.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,974.50 / $2,301.35 / $3,117.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.03 / $514.79 / $1,235.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.37 / $546.97 / $1,013.66
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.44 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.44 / $605.04 / $884.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.94 / $356.63 / $587.08
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
$499.55 / $614.65 / $852.24