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Michigan rates for HCPCS 21440

Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)

Facilitymedian $4,074 · 10th–90th $871–$5,0120%20%10th90th$4,074Professionalmedian $661 · 10th–90th $490–$1,3490%10%10th90th$661$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $660.69 / $1,071.52
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,348.96 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $1,348.96 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $660.69 / $1,122.02
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $4,073.80 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $758.58 / $1,445.44
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $660.69 / $1,047.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $4,786.30 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $602.56 / $851.14