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Michigan rates for HCPCS L1090

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.23 / $69.23 / $69.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.32 / $69.23 / $69.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.51 / $365.61 / $665.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.18 / $121.24 / $163.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.12 / $78.81 / $86.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.99 / $96.99 / $96.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.47 / $75.47 / $75.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.47 / $75.47 / $140.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.23 / $87.62 / $87.62
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.51 / $87.62 / $127.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.57 / $89.72 / $103.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.34 / $56.94 / $83.81