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Michigan rates for HCPCS L2830

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.44 / $60.44 / $60.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.68 / $60.44 / $68.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.19 / $319.17 / $581.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.55 / $105.84 / $142.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.80 / $68.80 / $71.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.67 / $84.67 / $84.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.45 / $68.45 / $68.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.45 / $68.45 / $122.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.44 / $76.48 / $76.48
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.44 / $76.48 / $111.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.22 / $78.31 / $90.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.95 / $141.12 / $141.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.34 / $50.60 / $75.75