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Michigan rates for HCPCS 21433

Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve foramina), multiple surgical approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,215.60 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,560.03 / $2,197.86 / $2,300.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,155.85 / $9,572.57 / $12,969.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.01 / $2,084.75 / $2,996.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.75 / $1,931.21 / $3,685.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,741.21 / $2,215.60 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,719.18 / $1,950.15 / $2,865.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.84 / $1,178.05 / $1,973.21
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
$1,741.79 / $2,067.01 / $2,872.93