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Michigan rates for HCPCS 21407

Open treatment of fracture of orbit, except blowout; with implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.74 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.89 / $819.74 / $851.27
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
$166.52 / $704.03 / $1,689.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.09 / $729.81 / $1,384.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.99 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.16 / $730.47 / $1,063.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.44 / $427.05 / $718.41
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
$654.87 / $773.88 / $1,059.22