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Michigan rates for HCPCS 67220

Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.15 / $942.08 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.44 / $681.83 / $1,016.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.73 / $508.05 / $688.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.03 / $700.16 / $1,160.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.32 / $609.04 / $1,038.47
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.80 / $942.08 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.39 / $663.86 / $1,031.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.01 / $328.83 / $572.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,933.00 / $4,504.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.16 / $709.57 / $1,304.25