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Michigan rates for HCPCS 21275

Secondary Revision Orbitocraniofacial Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.92 / $4,933.00 / $6,853.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.85 / $1,075.92 / $1,117.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,352.00 / $5,107.97 / $6,920.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.21 / $914.86 / $2,004.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.57 / $972.47 / $1,799.34
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.40 / $4,933.00 / $6,853.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.45 / $954.80 / $1,395.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $563.89 / $968.45
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
$836.56 / $995.84 / $1,379.20