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Michigan rates for HCPCS L2108

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture cast orthosis, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $707.95 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $4,168.69 / $7,943.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,380.38 / $1,445.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $1,621.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,630.27 / $2,951.21
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,096.48 / $1,698.24
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $1,096.48 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $645.65 / $977.24