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Michigan rates for HCPCS 21182

Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (includes obtaining grafts); total area of bone grafting less than 40 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,703.17 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.95 / $2,678.21 / $2,807.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,283.29 / $10,895.86 / $14,762.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.35 / $2,062.21 / $3,648.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.45 / $2,377.04 / $4,496.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,997.27 / $2,703.17 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,997.27 / $2,294.73 / $3,479.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.30 / $1,402.13 / $2,417.17
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
$2,103.44 / $2,449.01 / $3,284.95