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Michigan rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.95 / $58.86 / $65.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.06 / $73.06 / $73.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.42 / $76.72 / $98.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.90 / $35.07 / $105.94
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.87 / $59.12 / $72.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.07 / $62.18 / $97.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.54 / $34.31 / $48.61