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Michigan rates for HCPCS 67115

Release of encircling material (posterior segment)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.74 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.51 / $639.74 / $663.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,532.37 / $4,117.10 / $5,578.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.82 / $623.12 / $1,107.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.14 / $513.03 / $980.47
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.55 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.55 / $544.57 / $803.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.94 / $326.24 / $516.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.00 / $5,819.00 / $11,323.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.31 / $575.01 / $756.94