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Michigan rates for HCPCS L3230

Orthopedic footwear, custom shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.79 / $62.79 / $62.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.54 / $62.79 / $82.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.10 / $1,357.02 / $2,517.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.50 / $450.00 / $607.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.57 / $140.57 / $270.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.62 / $204.62 / $204.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.08 / $139.08 / $139.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.53 / $152.76 / $250.58
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.79 / $110.96 / $110.96
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.79 / $110.96 / $144.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.84 / $152.76 / $229.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.77 / $73.40 / $122.34