go back

Michigan rates for HCPCS 21139

Rdctj Fhd Cntrg & Setback Ant Frontal Sinus Wall

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.32 / $2,349.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.25 / $1,152.97 / $1,738.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.39 / $5,597.88 / $7,584.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.92 / $973.66 / $1,754.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.87 / $1,173.77 / $2,357.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.78 / $2,349.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.78 / $1,178.57 / $1,801.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.00 / $719.53 / $1,239.99
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
$1,058.64 / $1,270.50 / $1,606.15