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Michigan rates for HCPCS L0976

Lumbar-sacral orthosis (LSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.88 / $102.88 / $102.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.07 / $102.88 / $102.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.66 / $543.23 / $989.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.13 / $180.14 / $243.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.09 / $117.09 / $156.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.11 / $144.11 / $144.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.53 / $116.53 / $116.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.07 / $149.79 / $261.08
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.88 / $130.18 / $130.18
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.88 / $130.18 / $207.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.30 / $133.30 / $153.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.72 / $91.72 / $91.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.37 / $89.87 / $128.93