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Michigan rates for HCPCS L1850

Knee orthosis (KO), Swedish type, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.02 / $147.02 / $147.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.80 / $147.02 / $193.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.57 / $676.55 / $1,232.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.13 / $224.35 / $302.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.83 / $145.83 / $159.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.48 / $179.48 / $179.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.95 / $214.95 / $214.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.30 / $214.95 / $285.41
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.02 / $248.05 / $248.05
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.02 / $224.35 / $273.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.44 / $217.61 / $250.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.82 / $161.78 / $245.68