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Michigan rates for HCPCS L2840

Addition to lower extremity orthosis, tibial length sock, fracture or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.68 / $29.68 / $29.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.72 / $29.68 / $30.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.68 / $156.75 / $285.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.38 / $51.98 / $70.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.79 / $39.92 / $40.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.58 / $41.58 / $41.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.92 / $31.92 / $31.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.92 / $31.92 / $60.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.68 / $37.54 / $37.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.55 / $37.54 / $58.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.65 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.23 / $24.56 / $37.19