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Michigan rates for HCPCS L2525

Addition to lower extremity, thigh/weight bearing, ischial containment/narrow M-L brim molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.28 / $784.28 / $784.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.92 / $784.28 / $889.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,078.58 / $4,141.32 / $7,542.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.64 / $1,373.30 / $1,853.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.65 / $950.33 / $1,157.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.64 / $1,098.64 / $1,098.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.38 / $888.38 / $888.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.38 / $888.38 / $1,592.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.28 / $992.41 / $992.41
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.28 / $992.41 / $1,605.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $612.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.44 / $685.12 / $982.90