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Michigan rates for HCPCS L0972

Lumbar-sacral orthosis (LSO), corset front

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $66.07 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $354.81 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $117.49 / $123.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $75.86 / $138.04
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $223.87 / $251.19
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $93.33 / $144.54
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $75.86 / $77.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $93.33 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $56.23 / $83.18