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Michigan rates for HCPCS L8612

Aqueous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.66 / $545.66 / $545.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.55 / $545.66 / $588.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$955.47 / $955.47 / $955.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.70 / $955.47 / $1,289.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.03 / $527.04 / $621.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.38 / $764.38 / $764.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.71 / $451.71 / $451.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.88 / $451.71 / $1,107.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.66 / $690.47 / $690.47
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.66 / $690.47 / $1,074.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.41 / $448.69 / $635.55