go back

Michigan rates for HCPCS 21160

Rcnstj Midface Lefort Iii W/Fhd W/Lefort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,600.52 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,533.66 / $3,525.19 / $3,739.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,769.83 / $14,988.02 / $20,306.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.23 / $3,977.20 / $4,814.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,070.23 / $3,353.84 / $6,008.91
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,612.34 / $3,600.52 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,612.34 / $3,004.19 / $4,536.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.90 / $1,887.07 / $3,168.80
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
$2,751.29 / $3,354.98 / $4,398.68