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Michigan rates for HCPCS L1080

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, outrigger

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $36.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.26 / $36.00 / $37.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.41 / $190.10 / $346.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.89 / $63.04 / $85.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.98 / $48.41 / $51.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.43 / $50.43 / $50.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.77 / $40.77 / $40.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.76 / $42.11 / $81.17
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $45.55 / $45.55
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $45.55 / $71.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.78 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.35 / $30.14 / $45.11