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Michigan rates for HCPCS 21630

Radical Resection Sternum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,677.56 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.59 / $1,495.26 / $1,742.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,695.89 / $6,685.30 / $9,057.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.77 / $1,337.16 / $2,179.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.66 / $1,430.75 / $2,505.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.66 / $1,450.08 / $2,064.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.47 / $889.26 / $1,514.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.83 / $1,500.84 / $2,016.32