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Michigan rates for HCPCS 21450

Closed treatment of mandibular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $562.34 / $933.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $1,071.52 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $602.56 / $1,023.29
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $4,073.80 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $630.96 / $933.25
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $575.44 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,000.00 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $602.56 / $812.83