go back

Michigan rates for HCPCS 21408

Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.41 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.82 / $1,152.41 / $1,196.74
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
$224.72 / $1,149.16 / $2,272.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.46 / $999.84 / $1,923.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.44 / $1,152.41 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.74 / $1,022.56 / $1,493.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $624.35 / $1,036.38
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
$920.82 / $1,086.79 / $1,468.20