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Michigan rates for HCPCS L2850

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.62 / $41.62 / $41.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.07 / $41.62 / $43.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.31 / $219.78 / $400.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.23 / $72.88 / $98.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.34 / $45.34 / $47.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.30 / $58.30 / $58.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.58 / $43.58 / $43.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.58 / $43.58 / $84.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.62 / $52.67 / $52.67
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.62 / $52.67 / $76.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.22 / $53.93 / $62.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.00 / $44.00 / $44.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.25 / $34.79 / $53.26