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Michigan rates for HCPCS L1050

Addi To Cervic-Thoracic-Lumbar-Sacral Orthotic (Ctlso) Or Scol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.04 / $69.04 / $69.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.39 / $69.04 / $69.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.98 / $364.56 / $663.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.85 / $120.89 / $163.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.72 / $73.48 / $78.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.71 / $96.71 / $96.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.68 / $71.68 / $71.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.68 / $71.68 / $140.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.04 / $87.35 / $87.35
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.29 / $87.35 / $126.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.35 / $89.46 / $102.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.31 / $125.07 / $125.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.00 / $56.41 / $80.42