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Michigan rates for HCPCS L0700

Cervical-thoracic-lumbar-sacral orthosis (CTLSO), anterior-posterior-lateral control, molded to patient model, (Minerva type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,369.81 / $1,369.81 / $1,369.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.83 / $1,369.81 / $1,369.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.43 / $7,233.22 / $13,174.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,278.67 / $2,398.60 / $3,238.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,497.00 / $1,559.09 / $1,695.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,918.88 / $1,918.88 / $1,918.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.99 / $1,703.99 / $1,703.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,703.99 / $1,703.99 / $2,780.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,369.81 / $1,733.33 / $1,733.33
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,369.81 / $1,733.33 / $2,518.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,455.46 / $1,774.96 / $2,041.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.62 / $1,520.62 / $1,520.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.70 / $1,136.29 / $1,738.82