go back

Michigan rates for HCPCS G0117

Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.13 / $59.36 / $63.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $98.83 / $127.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.24 / $56.24 / $72.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.50 / $61.01 / $80.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.10 / $33.88 / $47.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.88 / $57.86 / $76.44