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Michigan rates for HCPCS 67105

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.93 / $1,193.57 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.51 / $502.57 / $753.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.36 / $288.92 / $504.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.33 / $343.33 / $462.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.08 / $386.03 / $677.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.89 / $548.02 / $739.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.43 / $1,243.85 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.33 / $502.57 / $911.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.79 / $224.49 / $322.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $2,800.00 / $4,594.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.51 / $558.95 / $916.07