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Michigan rates for HCPCS L2520

Addition to lower extremity, thigh/weight bearing, quadri-lateral brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.85 / $369.85 / $369.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.95 / $369.85 / $369.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.23 / $1,952.99 / $3,557.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.25 / $647.63 / $874.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.35 / $352.24 / $420.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.10 / $518.10 / $518.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.30 / $324.30 / $324.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.74 / $538.48 / $938.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.85 / $468.00 / $468.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.43 / $468.00 / $680.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.98 / $479.25 / $551.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.39 / $292.01 / $431.54