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Michigan rates for HCPCS L2108

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Cast Orthosis Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.05 / $791.05 / $791.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.57 / $791.05 / $791.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,096.51 / $4,177.06 / $7,607.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.89 / $1,385.15 / $1,869.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.41 / $866.92 / $900.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.11 / $1,108.11 / $1,108.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.15 / $752.15 / $752.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.07 / $1,151.73 / $2,007.19
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.05 / $1,000.99 / $1,000.99
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.08 / $1,000.99 / $1,454.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.50 / $1,025.01 / $1,178.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.43 / $650.48 / $991.39