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Michigan rates for HCPCS 67039

Vitrectomy Mchnl Pars Plna Focal Endolaser Pc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,234.97 / $4,933.00 / $6,853.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,268.29 / $4,974.84 / $6,740.11
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.63 / $4,933.00 / $6,906.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,153.22 / $7,800.00 / $10,652.00