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Michigan rates for HCPCS 21480

Closed Tx Temporomandibular Dislocation 1st/Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.14 / $181.75 / $2,878.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.99 / $426.69 / $1,002.03
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$170.24 / $256.61 / $338.33
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.14 / $181.75 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,209.00 / $1,844.00