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Michigan rates for HCPCS 21355

Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $4,897.79 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $416.87 / $660.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $741.31 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $436.52 / $794.33
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $4,073.80 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $457.09 / $645.65
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $426.58 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,309.57 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $436.52 / $588.84