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Michigan rates for HCPCS V2623

Prosthetic eye, plastic, custom

Facilitymedian $2,570 · 10th–90th $912–$3,8900%10%20%10th90th$2,570Professionalmedian $912 · 10th–90th $468–$1,1750%10%20%10th90th$912$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $2,570.40 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $870.96 / $1,122.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $3,388.44 / $6,456.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,122.02 / $1,174.90
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $933.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $2,187.76 / $3,162.28
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $933.25 / $1,380.38
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $933.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $933.25 / $1,479.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $537.03 / $831.76