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Michigan rates for HCPCS L2624

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.48 / $268.48 / $268.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.32 / $268.48 / $268.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.56 / $1,417.69 / $2,582.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.61 / $470.12 / $634.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.49 / $305.29 / $305.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.10 / $376.10 / $376.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.02 / $291.02 / $291.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.02 / $291.02 / $544.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.48 / $339.73 / $339.73
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.48 / $339.73 / $564.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $178.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.07 / $184.46 / $236.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.72 / $216.85 / $336.48