go back

Michigan rates for HCPCS E1816

Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.08 / $1,386.08 / $1,386.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.38 / $1,386.08 / $1,386.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,441.90 / $4,918.30 / $10,380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.02 / $1,911.32 / $2,580.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.55 / $123.73 / $1,670.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.29 / $152.29 / $2,284.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.63 / $107.63 / $107.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.63 / $107.63 / $1,302.90
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.07 / $975.07 / $1,386.08
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.60 / $1,333.02 / $1,820.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $6.81 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $87.02 / $808.54