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Michigan rates for HCPCS L0220

Thoracic, rib belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.89 / $88.89 / $88.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $88.89 / $88.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.59 / $469.38 / $854.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.87 / $155.65 / $210.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.69 / $101.17 / $103.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.52 / $124.52 / $124.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.21 / $86.21 / $86.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.21 / $86.21 / $180.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.89 / $112.48 / $112.48
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.85 / $112.48 / $163.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.44 / $115.18 / $132.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.90 / $73.09 / $111.41