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Michigan rates for HCPCS 67101

Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $407.38 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $446.68 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $512.86 / $933.25
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $524.81 / $1,047.13
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $512.86 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $660.69 / $933.25