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Michigan rates for HCPCS L2390

Addition to lower extremity, offset knee joint, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.43 / $70.43 / $70.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.56 / $70.43 / $79.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.65 / $371.88 / $677.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.15 / $123.32 / $166.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.16 / $80.16 / $82.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.66 / $98.66 / $98.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.77 / $79.77 / $79.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.77 / $79.77 / $142.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.43 / $89.12 / $89.12
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.25 / $89.12 / $129.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.83 / $91.26 / $104.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.17 / $60.98 / $88.26