go back

Michigan rates for HCPCS 21436

Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixation, with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,599.35 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,829.17 / $2,584.21 / $2,699.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,905.85 / $10,452.85 / $14,161.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.74 / $2,010.80 / $3,309.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,486.58 / $2,259.83 / $4,327.08
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,157.53 / $2,599.35 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,019.13 / $2,307.58 / $3,197.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.20 / $1,370.71 / $2,326.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $7,519.00 / $10,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,966.01 / $2,375.33 / $3,144.26