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Michigan rates for HCPCS V2626

Reduction of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $208.93 / $263.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $239.88 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $354.81
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $194.98 / $263.03
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $112.20 / $169.82