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Michigan rates for HCPCS 67108

Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,589.66 / $8,600.58 / $17,202.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.94 / $1,408.76 / $2,727.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.33 / $1,163.40 / $2,011.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,934.72 / $6,917.13 / $9,371.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.86 / $1,166.10 / $2,627.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.06 / $1,486.47 / $2,137.61
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,607.29 / $8,686.02 / $18,006.58
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.48 / $1,607.29 / $2,170.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.71 / $813.92 / $1,286.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,100.00 / $8,030.00 / $12,726.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.18 / $1,645.32 / $2,107.89