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Michigan rates for HCPCS L2184

Addition to lower extremity fracture orthosis, limited motion knee joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.70 / $79.70 / $79.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.20 / $79.70 / $79.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.23 / $420.86 / $766.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.58 / $139.56 / $188.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.71 / $99.50 / $120.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.65 / $111.65 / $111.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.28 / $90.28 / $90.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.28 / $90.28 / $161.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.70 / $100.85 / $100.85
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.08 / $100.85 / $160.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.68 / $103.27 / $118.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.52 / $69.47 / $116.04