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Michigan rates for HCPCS 21348

Optx Nasomax Cplx Fx Left Ii Type W/Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.07 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.56 / $1,237.01 / $1,457.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,632.46 / $6,610.85 / $8,956.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.24 / $975.14 / $1,826.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.49 / $1,268.51 / $2,322.65
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.72 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.83 / $1,235.25 / $1,819.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.64 / $751.64 / $1,271.25
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
$1,133.60 / $1,389.82 / $1,929.17