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Michigan rates for HCPCS L2020

Knee Ankle Foot Orthosis Double Upright Free Ankle Solid Stirrup Thigh And Calf Bands/Cuffs (Double Bar Ak Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.27 / $758.27 / $758.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.01 / $758.27 / $813.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,009.66 / $4,004.02 / $7,292.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.38 / $1,327.77 / $1,792.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.05 / $863.05 / $908.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.22 / $1,062.22 / $1,062.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.86 / $830.86 / $830.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.86 / $830.86 / $1,539.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.27 / $959.50 / $959.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.27 / $959.50 / $1,493.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.69 / $982.55 / $1,129.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.64 / $876.64 / $876.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.85 / $650.41 / $950.30