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Michigan rates for HCPCS L3050

Foot, arch support, removable, premolded, metatarsal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.39 / $32.39 / $32.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.07 / $31.64 / $32.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.71 / $56.71 / $56.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.87 / $56.71 / $76.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.97 / $36.86 / $37.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.37 / $45.37 / $45.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.65 / $31.65 / $31.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.07 / $31.65 / $65.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.39 / $40.98 / $40.98
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.42 / $40.98 / $59.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.41 / $41.97 / $48.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $25.04 / $32.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.79 / $26.75 / $40.59