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Michigan rates for HCPCS L1040

Addition To Ctlso Or Scoliosis Orthosis Lumbar Or Lumbar Rib Pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.01 / $61.01 / $61.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.17 / $61.01 / $61.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.68 / $322.13 / $586.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.48 / $106.82 / $144.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.97 / $69.43 / $74.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.46 / $85.46 / $85.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.78 / $66.78 / $66.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.78 / $66.78 / $123.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.01 / $77.19 / $77.19
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.38 / $77.19 / $112.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.82 / $79.05 / $90.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.60 / $117.18 / $117.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.53 / $50.17 / $76.45