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Michigan rates for HCPCS 21248

Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.01 / $1,003.87 / $1,281.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.36 / $619.85 / $1,337.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.82 / $1,081.48 / $1,760.96
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.16 / $1,090.53 / $1,600.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.96 / $673.65 / $1,127.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.14 / $1,269.34 / $1,794.33