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Michigan rates for HCPCS L2186

Addition to lower extremity fracture orthosis, adjustable motion knee joint, Lerman type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.00 / $106.00 / $106.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.86 / $106.00 / $106.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.92 / $559.70 / $1,019.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.32 / $185.60 / $250.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.64 / $134.02 / $138.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.47 / $148.47 / $148.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.06 / $120.06 / $120.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.06 / $120.06 / $215.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.00 / $134.11 / $134.11
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.00 / $134.11 / $194.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.61 / $137.34 / $157.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.25 / $87.15 / $132.83