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Michigan rates for HCPCS 97760

Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes

Facilitymedian $56 · 10th–90th $36–$2570%20%10th90th$56Professionalmedian $34 · 10th–90th $21–$680%10%10th90th$34$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $50.12 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $33.11 / $60.26
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $107.15 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $70.79 / $70.79
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $19.95 / $52.48
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $56.23 / $75.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $45.71 / $177.83
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $37.15 / $74.13
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $75.86 / $75.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $45.71 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $37.15 / $69.18