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Michigan rates for HCPCS L2134

Knee-ankle-foot orthosis (KAFO), fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment

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
$512.86 / $676.08 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $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
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $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
$660.69 / $1,096.48 / $1,698.24
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,122.02 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $645.65 / $933.25