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Michigan rates for HCPCS 67250

Scleral Reinforcement Spx W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.89 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.00 / $1,167.89 / $1,211.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,065.78 / $2,407.73 / $3,262.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.10 / $881.37 / $2,085.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.07 / $851.80 / $1,674.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.87 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.87 / $931.16 / $1,323.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.73 / $625.33 / $1,002.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,708.00 / $8,884.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.95 / $946.02 / $1,252.75