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Michigan rates for HCPCS 21465

Open treatment of mandibular condylar fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.80 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.89 / $1,011.72 / $1,051.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.39 / $5,597.88 / $7,584.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.27 / $1,217.57 / $2,100.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.51 / $1,045.11 / $1,753.99
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.51 / $1,012.80 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.23 / $986.51 / $1,388.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.56 / $554.15 / $915.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,702.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.76 / $1,101.25 / $1,544.81