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Michigan rates for HCPCS 21050

Condylectomy Temporomandibular Joint Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.10 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.34 / $1,092.10 / $1,134.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,088.07 / $4,798.18 / $6,500.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.44 / $1,231.90 / $2,236.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.70 / $993.01 / $1,906.68
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$907.21 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.93 / $962.32 / $1,416.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.56 / $583.13 / $974.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,702.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.81 / $1,029.55 / $1,371.02