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Michigan rates for HCPCS L0190

Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (SOMI, Guilford, Taylor types)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.12 / $366.12 / $366.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.30 / $366.12 / $366.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.34 / $1,933.30 / $3,521.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.04 / $641.10 / $865.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.75 / $411.83 / $416.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.88 / $512.88 / $512.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.04 / $419.04 / $419.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.04 / $419.04 / $743.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.12 / $463.28 / $463.28
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.34 / $463.28 / $673.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.01 / $474.41 / $545.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.00 / $301.06 / $453.09