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Michigan rates for HCPCS 21406

Open treatment of fracture of orbit, except blowout; without implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.81 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.91 / $646.77 / $770.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.86 / $407.86 / $407.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,088.07 / $4,798.18 / $6,500.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.43 / $709.13 / $1,462.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.37 / $618.83 / $1,245.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.49 / $741.81 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.49 / $634.22 / $924.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $397.60 / $655.70
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
$553.00 / $654.07 / $935.17