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Michigan rates for HCPCS 21451

Closed treatment of mandibular fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.64 / $954.34 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.95 / $800.64 / $991.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.75 / $1,761.44 / $2,386.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.74 / $678.07 / $1,540.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.79 / $788.21 / $1,434.40
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.36 / $954.34 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.51 / $831.43 / $1,182.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.24 / $500.85 / $880.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $3,640.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.07 / $855.50 / $1,282.81