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Michigan rates for HCPCS L2840

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

Facilitymedian $66 · 10th–90th $28–$2090%10%20%10th90th$66Professionalmedian $30 · 10th–90th $25–$520%50%10th90th$30$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
$28.84 / $28.84 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $28.84 / $36.31
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $154.88 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $54.95
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $34.67 / $60.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $97.72 / $109.65
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $41.69 / $63.10
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $34.67 / $54.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $42.66 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $24.55 / $37.15