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Michigan rates for HCPCS L1848

Knee Orthosis Double Upright With Adjustable Joint With Inflatable Air Support Chamber(S) Prefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.77 / $395.77 / $395.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.75 / $395.77 / $395.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.90 / $2,089.81 / $3,806.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.35 / $693.00 / $935.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.65 / $450.45 / $452.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.40 / $554.40 / $554.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.50 / $437.50 / $437.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.50 / $437.50 / $803.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.77 / $474.00 / $474.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.11 / $474.00 / $706.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.89 / $512.82 / $589.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.27 / $325.43 / $489.83