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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
$229.09 / $229.09 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $223.87 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,202.26 / $2,290.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $398.11 / $426.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $251.19 / $467.74
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $758.58 / $851.14
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $323.59 / $489.78
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $251.19 / $257.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $323.59 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $190.55 / $288.40