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Michigan rates for HCPCS L2265

Addition to lower extremity, long tongue stirrup

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $79.43 / $114.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $489.78 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $162.18 / $169.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $107.15 / $190.55
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $309.03 / $346.74
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $125.89 / $199.53
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $107.15 / $112.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $128.82 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $75.86 / $107.15