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Michigan rates for HCPCS 68770

Closure of lacrimal fistula (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.17 / $878.00 / $6,906.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.66 / $807.17 / $837.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.32 / $1,864.06 / $2,525.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.80 / $928.24 / $1,461.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.04 / $651.19 / $1,170.42
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.91 / $807.17 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.84 / $686.23 / $1,024.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.25 / $434.05 / $707.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $2,800.00 / $4,594.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.36 / $722.11 / $951.66