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Michigan rates for HCPCS L3225

Orthopedic footwear, man's shoe, Oxford, used as an integral part of a brace (orthosis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.78 / $50.78 / $50.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $50.78 / $50.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.59 / $268.14 / $488.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.47 / $88.92 / $120.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.54 / $50.02 / $57.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.14 / $71.14 / $71.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $54.54 / $54.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.54 / $54.54 / $103.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.78 / $64.26 / $64.26
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.31 / $64.26 / $93.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.93 / $65.80 / $75.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.77 / $41.19 / $62.85