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Michigan rates for HCPCS 21462

Open treatment of mandibular fracture; with interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,462.25 / $4,933.00 / $17,715.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,779.67 / $5,609.93 / $7,600.57
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.33 / $4,933.00 / $17,715.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,702.00 / $10,652.00