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Michigan rates for HCPCS 21198

Osteotomy, mandible, segmental;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,302.08 / $4,112.00 / $5,756.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.81 / $1,302.08 / $1,352.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,088.07 / $4,798.18 / $6,500.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.17 / $1,515.85 / $2,387.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.92 / $1,319.52 / $2,323.46
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.97 / $4,112.00 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.63 / $1,179.97 / $1,699.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.47 / $676.98 / $1,153.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,806.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.53 / $1,379.77 / $1,852.01