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Michigan rates for HCPCS 67141

Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $363.08 / $794.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $199.53 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $426.58 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $489.78 / $691.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $2,884.03 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $426.58 / $794.33
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $398.11 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $891.25 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $549.54 / $707.95