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Michigan rates for HCPCS 21453

Closed Tx Mandibular Fx W/Interdental Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.82 / $4,112.00 / $7,671.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,088.07 / $4,798.18 / $6,500.78
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.31 / $4,933.00 / $7,938.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,702.00 / $10,652.00