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Michigan rates for HCPCS V2625

Enlargement of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.57 / $402.08 / $468.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.66 / $578.66 / $578.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.74 / $607.60 / $781.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.23 / $213.23 / $838.59
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.97 / $410.53 / $496.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.22 / $492.45 / $770.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.53 / $266.93 / $360.56