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Michigan rates for HCPCS V2744

Tint Photochromatic Per Lens (Special Coverage Instructions Apply. See Mcm: 2130b)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $17.30 / $21.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.19 / $18.19 / $18.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.40 / $21.40 / $21.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.32 / $22.47 / $28.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $9.44 / $30.94
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.89 / $17.07 / $21.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.69 / $11.15 / $17.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.69 / $9.86 / $12.86