go back

Michigan rates for HCPCS 21089

Unlisted maxillofacial prosthetic procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $794.33 / $1,737.80