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Michigan rates for HCPCS K0043

Footrest Lower Extension Tube Replacement Only Each. (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.68 / $17.68 / $17.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.47 / $17.68 / $17.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.58 / $84.14 / $112.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $16.64 / $31.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $11.49 / $17.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $14.02 / $18.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.26 / $15.26 / $20.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.26 / $17.12 / $20.03
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $16.42 / $23.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $10.61 / $17.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $12.31 / $19.53