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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
$794.33 / $4,897.79 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $1,202.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $1,445.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,380.38 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $794.33 / $1,445.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,187.76 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $812.83 / $1,122.02
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $776.25 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $2,951.21 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $794.33 / $1,071.52