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Michigan rates for HCPCS L2810

Addition to lower extremity orthosis, knee control, condylar pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $52.48 / $72.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $295.12 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $97.72 / $102.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $66.07 / $114.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $186.21 / $208.93
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $77.62 / $120.23
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $66.07 / $70.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $79.43 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $45.71 / $70.79