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Michigan rates for HCPCS L2250

Addition To Lower Extremity Foot Plate Molded To Patient Model Stirrup Attachment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.84 / $229.84 / $229.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.19 / $229.84 / $240.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.13 / $1,213.63 / $2,210.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.33 / $402.45 / $543.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.20 / $261.58 / $281.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.95 / $321.95 / $321.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.60 / $252.60 / $252.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.40 / $334.63 / $583.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.84 / $290.83 / $290.83
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.10 / $290.83 / $422.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.20 / $297.81 / $342.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.37 / $192.40 / $288.04