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Michigan rates for HCPCS 21340

Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of canthal ligaments and/or the nasolacrimal apparatus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.30 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.68 / $944.17 / $1,001.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,997.27 / $4,691.60 / $6,356.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.11 / $938.35 / $1,265.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.75 / $885.87 / $1,596.67
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.48 / $964.30 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.83 / $853.17 / $1,250.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.56 / $524.18 / $870.68
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
$770.56 / $930.49 / $1,311.78