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Michigan rates for HCPCS L1640

Hip Orthosis Abduction Control Of Hip Joints Static Pelvic Band Or Spreader Bar Thigh Cuffs Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.73 / $325.73 / $325.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.32 / $325.73 / $336.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.31 / $1,720.04 / $3,132.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.86 / $570.38 / $770.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.90 / $370.75 / $377.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.30 / $456.30 / $456.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.04 / $379.04 / $379.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.70 / $474.25 / $826.41
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.73 / $412.16 / $412.16
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.73 / $412.16 / $598.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.10 / $422.08 / $485.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.82 / $259.82 / $259.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.06 / $267.83 / $396.86