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Michigan rates for HCPCS L2850

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

Facilitymedian $93 · 10th–90th $41–$2950%20%10th90th$93Professionalmedian $41 · 10th–90th $31–$720%20%10th90th$41$0.1$0.5$2.0$10.0$50.0$200.0

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
$40.74 / $40.74 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $38.90 / $57.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $218.78 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $75.86
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $43.65 / $87.10
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $138.04 / $154.88
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $58.88 / $89.13
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $52.48 / $77.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $58.88 / $95.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $34.67 / $52.48