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Michigan rates for HCPCS 21100

Appl Halo Appliance Maxillofacial Fixation Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.35 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.92 / $538.50 / $797.34
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
$96.76 / $342.05 / $608.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.50 / $608.67 / $1,325.01
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.60 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.51 / $710.60 / $995.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.77 / $395.53 / $700.03
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
$656.20 / $818.69 / $1,141.59