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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
$741.31 / $4,897.79 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $588.84 / $1,071.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $549.54 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $891.25 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $645.65 / $1,698.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,659.59 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $630.96 / $891.25
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $602.56 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,413.10 / $12,882.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $645.65 / $851.14