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Michigan rates for HCPCS 67041

Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,897.79 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,258.93 / $2,238.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,698.24 / $1,698.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,511.89 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,202.26 / $2,454.71
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $4,897.79 / $8,709.64
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,380.38 / $2,137.96
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,071.52 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $7,079.46 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,412.54 / $1,862.09