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Michigan rates for HCPCS 67229

Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity), photocoagulation or cryotherapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,491.54 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.20 / $1,245.38 / $1,546.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.73 / $510.59 / $718.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.70 / $1,618.89 / $2,556.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.58 / $1,108.15 / $2,083.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.10 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.10 / $1,241.49 / $1,825.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.71 / $782.59 / $1,245.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $2,283.00 / $4,504.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.99 / $1,335.09 / $1,870.14