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Michigan rates for HCPCS L1860

Knee orthosis (KO), modification of supracondylar prosthetic socket, custom fabricated (SK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.03 / $858.03 / $858.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.21 / $858.03 / $858.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,274.04 / $4,530.76 / $8,252.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.32 / $1,502.44 / $2,028.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.78 / $817.54 / $976.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.95 / $1,201.95 / $1,201.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.39 / $755.39 / $755.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.38 / $755.39 / $1,741.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.03 / $1,085.73 / $1,085.73
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.03 / $1,085.73 / $1,577.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.68 / $1,111.81 / $1,278.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.70 / $693.02 / $1,005.17