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Michigan rates for HCPCS 21073

Manipulation Tmj Therapeutic Require Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.74 / $486.11 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.85 / $336.37 / $486.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.10 / $531.80 / $720.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.32 / $221.17 / $414.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.84 / $367.36 / $689.11
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.74 / $486.11 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.74 / $396.84 / $580.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.77 / $263.60 / $432.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $3,640.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.68 / $445.33 / $642.42