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Michigan rates for HCPCS 67912

Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.92 / $1,202.41 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.42 / $2,485.42 / $3,367.36
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$869.76 / $4,112.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,708.00 / $8,884.00