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Michigan rates for HCPCS 21046

Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesion[s])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.59 / $4,933.00 / $11,839.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.19 / $1,129.33 / $1,584.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,294.10 / $7,387.42 / $10,008.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.10 / $1,408.83 / $2,474.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.04 / $1,231.10 / $2,220.48
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.46 / $7,339.47 / $11,839.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.70 / $1,104.46 / $1,687.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.56 / $674.97 / $1,099.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,069.00 / $8,847.00 / $13,467.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.24 / $1,302.25 / $1,839.49