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Michigan rates for HCPCS 21183

Rcnstj Orbit/Fhd/Nasethmd Exc Bone Grf>40 <80

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.89 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,070.65 / $2,912.55 / $3,055.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,462.83 / $12,280.28 / $16,637.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.73 / $2,263.75 / $3,836.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,676.60 / $2,672.19 / $4,892.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,432.03 / $2,941.89 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,278.98 / $2,604.56 / $3,800.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.32 / $1,559.74 / $2,628.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $7,519.00 / $10,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,303.62 / $2,811.99 / $3,775.85