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Michigan rates for HCPCS 21206

Osteotomy Maxilla Segmental

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.44 / $1,234.49 / $1,281.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.49 / $1,540.93 / $2,448.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.70 / $1,289.29 / $2,182.14
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.91 / $1,236.72 / $1,673.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.47 / $676.98 / $1,131.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.83 / $1,402.42 / $1,940.82