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Michigan rates for HCPCS L2340

Addition to lower extremity, pretibial shell, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.55 / $287.55 / $287.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.00 / $287.55 / $320.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.09 / $1,518.38 / $2,765.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.33 / $503.51 / $679.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.27 / $399.15 / $421.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.81 / $402.81 / $402.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.76 / $319.76 / $319.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.42 / $418.66 / $729.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.55 / $363.86 / $363.86
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.55 / $363.86 / $579.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.53 / $372.60 / $428.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.68 / $240.71 / $360.37