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Michigan rates for HCPCS L2190

Addition to lower extremity fracture orthosis, waist belt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.69 / $58.69 / $58.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.80 / $58.69 / $63.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.55 / $309.91 / $564.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.63 / $102.77 / $138.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.80 / $68.28 / $75.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.22 / $82.22 / $82.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.48 / $61.48 / $61.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.48 / $61.48 / $119.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.69 / $74.27 / $74.27
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.69 / $74.27 / $115.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $35.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.60 / $29.60 / $29.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.43 / $49.09 / $73.56