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Michigan rates for HCPCS L2580

Addition to lower extremity, pelvic control, pelvic sling

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.60 / $298.60 / $298.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.12 / $298.60 / $298.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.38 / $1,576.74 / $2,871.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.72 / $522.86 / $705.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.86 / $339.86 / $440.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.29 / $418.29 / $418.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.35 / $373.35 / $373.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.35 / $373.35 / $606.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.60 / $377.84 / $377.84
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.60 / $377.84 / $601.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.27 / $386.92 / $444.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.24 / $249.96 / $374.22