go back

Michigan rates for HCPCS 21435

Open Tx Craniofacial Sep Comp W/Int&/Xtrnl Fix

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.75 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.66 / $1,789.92 / $1,863.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,954.58 / $6,988.93 / $9,468.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.15 / $1,326.19 / $2,440.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.44 / $1,511.77 / $2,989.74
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,397.32 / $1,794.75 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.45 / $1,564.99 / $2,246.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.33 / $974.49 / $1,630.06
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
$1,342.38 / $1,613.62 / $2,102.89