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Michigan rates for HCPCS L3031

Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.27 / $84.27 / $84.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.01 / $84.27 / $84.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.34 / $444.98 / $810.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.18 / $147.56 / $199.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.63 / $95.91 / $96.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.05 / $118.05 / $118.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.71 / $83.71 / $83.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.60 / $83.71 / $171.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.80 / $48.80 / $84.27
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.80 / $84.27 / $154.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $65.33 / $83.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.71 / $69.30 / $115.50