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Michigan rates for HCPCS L0200

Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $371.54 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $2,238.72 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $741.31 / $776.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $380.19 / $870.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $1,412.54 / $1,584.89
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $588.84 / $912.01
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $616.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $380.19 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $588.84 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $346.74 / $501.19