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Michigan rates for HCPCS L2526

Addition To Lower Extremity Thigh/Weight Bearing Ischial Containment/Narrow M-L Brim Custom Fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.68 / $440.68 / $440.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.96 / $440.68 / $483.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.94 / $2,326.98 / $4,238.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.07 / $771.65 / $1,041.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.57 / $542.30 / $623.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.32 / $617.32 / $617.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.17 / $499.17 / $499.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.17 / $499.17 / $894.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.68 / $557.63 / $557.63
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.68 / $557.63 / $887.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $342.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.43 / $384.11 / $552.29