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Michigan rates for HCPCS 21247

Rcnstj Mndblr Condyle W/Bone Cartlg Autografts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,004.41 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.47 / $2,004.41 / $2,081.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,197.59 / $8,447.86 / $11,445.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.95 / $1,891.53 / $3,794.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.61 / $1,871.99 / $3,459.34
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,746.97 / $2,004.41 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.05 / $1,764.50 / $2,599.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.33 / $1,070.13 / $1,781.64
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
$1,574.72 / $1,961.98 / $2,695.77