go back

Michigan rates for HCPCS L2192

Addition To Lower Extremity Fracture Orthosis Hip Joint Pelvic Band Thigh Flange And Pelvic Belt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.40 / $229.40 / $229.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.31 / $229.40 / $235.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.98 / $1,211.33 / $2,206.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.61 / $401.69 / $542.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.10 / $261.10 / $299.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.35 / $321.35 / $321.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.00 / $251.00 / $251.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.00 / $251.00 / $465.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.40 / $290.27 / $290.27
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.40 / $290.27 / $451.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $192.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.78 / $345.78 / $345.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $192.04 / $301.94