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Michigan rates for HCPCS L2760

Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.09 / $39.09 / $207.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.27 / $39.09 / $39.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.61 / $206.42 / $375.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.03 / $68.45 / $92.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.49 / $44.49 / $44.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.76 / $54.76 / $54.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.77 / $42.77 / $42.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.77 / $42.77 / $79.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.09 / $49.46 / $207.80
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.72 / $49.46 / $71.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.53 / $50.65 / $58.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $33.85 / $43.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.74 / $34.07 / $48.99