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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
$597.41 / $759.58 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.37 / $597.41 / $759.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.69 / $563.02 / $762.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.22 / $683.61 / $1,165.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.89 / $600.14 / $1,086.78
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.62 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.23 / $620.38 / $910.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.76 / $384.37 / $663.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,418.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.98 / $674.80 / $987.48