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Michigan rates for HCPCS L3252

Foot, shoe molded to patient model, Plastazote (or similar), custom fabricated, each

Facilitymedian $331 · 10th–90th $56–$1,4790%20%10th90th$331Professionalmedian $76 · 10th–90th $60–$3160%20%10th90th$76$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $67.61 / $114.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $954.99 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $323.59 / $338.84
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $109.65 / $199.53
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $309.03 / $346.74
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $120.23 / $165.96
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $109.65 / $186.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $77.62 / $93.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $77.62 / $134.90