go back

Michigan rates for HCPCS L2320

Addition to lower extremity, nonmolded lacer, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.74 / $132.74 / $132.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.75 / $132.74 / $139.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.80 / $700.92 / $1,276.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.81 / $232.43 / $313.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.66 / $150.66 / $151.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.94 / $185.94 / $185.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.84 / $144.84 / $144.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $193.25 / $337.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.74 / $167.95 / $167.95
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.74 / $167.95 / $244.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.04 / $172.00 / $197.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.55 / $115.64 / $166.33