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Michigan rates for HCPCS 67121

Removal of implanted material, posterior segment; intraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,161.66 / $2,693.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,807.80 / $3,272.59 / $4,433.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.11 / $2,693.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $7,500.00 / $10,556.00