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Michigan rates for HCPCS 21616

Excision first and/or cervical rib; with sympathectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $741.31 / $1,230.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,584.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $1,071.52 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $891.25 / $1,445.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $4,897.79 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $891.25 / $1,258.93
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $851.14 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $10,000.00 / $19,054.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $977.24 / $1,230.27