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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
$1,148.15 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $912.01 / $1,698.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $2,041.74 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,071.52 / $2,570.40
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $2,754.23 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,047.13 / $1,445.44
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $977.24 / $1,621.81
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
$851.14 / $1,071.52 / $1,380.38