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Michigan rates for HCPCS L1120

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO), scoliosis orthosis, cover for upright, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.17 / $26.17 / $26.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.68 / $26.17 / $26.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.34 / $138.16 / $251.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.53 / $45.82 / $61.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.78 / $31.63 / $31.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $36.65 / $36.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.64 / $29.64 / $29.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.64 / $30.61 / $59.11
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.17 / $33.11 / $33.11
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.17 / $33.11 / $51.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.48 / $21.91 / $32.79