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Michigan rates for HCPCS L2785

Addition to lower extremity orthosis, drop lock retainer, each

Facilitymedian $46 · 10th–90th $20–$1450%20%10th90th$46Professionalmedian $21 · 10th–90th $16–$350%20%10th90th$21$0.1$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.95 / $25.70
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $107.15 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $37.15
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $22.91 / $43.65
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $67.61 / $75.86
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.84 / $43.65
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $26.92 / $39.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $28.84 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $16.98 / $26.30