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Michigan rates for HCPCS L1085

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, outrigger, bilateral with vertical extensions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.53 / $120.53 / $120.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.04 / $120.53 / $120.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.44 / $636.44 / $1,159.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.50 / $211.05 / $284.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.97 / $137.18 / $143.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.84 / $168.84 / $168.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.01 / $144.01 / $144.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $144.01 / $244.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.53 / $152.50 / $152.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.53 / $152.50 / $237.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $82.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.73 / $99.10 / $151.04