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Michigan rates for HCPCS L3214

Benesch boot, pair, junior

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.15 / $28.15 / $28.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.35 / $28.15 / $37.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.54 / $232.20 / $422.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.15 / $77.00 / $103.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.86 / $58.86 / $58.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.68 / $49.68 / $49.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.68 / $49.68 / $62.27
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.15 / $49.75 / $49.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.15 / $49.75 / $62.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.81 / $83.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.87 / $32.92 / $54.75