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Michigan rates for HCPCS 67875

Temporary closure of eyelids by suture (eg, Frost suture)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.10 / $305.14 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.18 / $135.24 / $242.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.23 / $1,149.48 / $1,557.36
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$528.46 / $778.68 / $878.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.21 / $135.30 / $224.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.14 / $159.07 / $353.14
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.83 / $1,891.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.70 / $170.02 / $255.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.25 / $168.84 / $232.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $3,569.00 / $6,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.47 / $204.32 / $272.63