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Michigan rates for HCPCS 21150

Rcnstj Midface Lefort Ii Anterior Intrusion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,102.73 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.54 / $2,085.67 / $2,183.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,110.10 / $5,997.76 / $8,126.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.52 / $1,532.54 / $2,819.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.83 / $1,961.80 / $3,533.16
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,639.42 / $2,102.73 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.91 / $1,836.15 / $2,639.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.84 / $1,110.98 / $1,876.25
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
$1,707.04 / $2,048.44 / $2,871.53