go back

Michigan rates for HCPCS L2820

Addition to lower extremity orthosis, soft interface for molded plastic, below knee section

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.87 / $260.44 / $588.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.22 / $55.87 / $63.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.03 / $73.37 / $97.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.07 / $295.02 / $537.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.94 / $97.83 / $132.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.59 / $97.83 / $145.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.26 / $127.18 / $136.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.18 / $72.18 / $72.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.18 / $72.18 / $113.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.70 / $425.90 / $588.28
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.54 / $70.70 / $117.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.35 / $72.39 / $83.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.22 / $46.77 / $70.02