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Michigan rates for HCPCS 21385

Open Tx Orbital Floor Blowout Fx Transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.94 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.62 / $932.94 / $968.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,968.13 / $5,831.13 / $7,900.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.24 / $1,161.84 / $1,825.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.37 / $808.96 / $1,591.92
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.50 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.50 / $792.82 / $1,157.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $522.40 / $868.22
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
$726.03 / $847.16 / $1,113.97