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Michigan rates for HCPCS L2640

Addition to lower extremity, pelvic control, band and belt, bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.21 / $216.21 / $216.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.59 / $216.21 / $240.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.02 / $1,141.68 / $2,079.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.66 / $378.59 / $511.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.08 / $246.08 / $246.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.87 / $302.87 / $302.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.57 / $236.57 / $236.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.56 / $236.57 / $438.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.21 / $273.58 / $273.58
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.21 / $273.58 / $402.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.73 / $280.16 / $322.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.88 / $181.00 / $270.97