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Michigan rates for HCPCS L3254

Nonstandard size or width

Facilitymedian $85 · 10th–90th $14–$2090%20%10th90th$85Professionalmedian $14 · 10th–90th $14–$450%50%90th$14$10.0$20.0$50.0$100.0$200.0$500.0

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
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $16.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $134.90 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $44.67 / $46.77
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $8.71 / $10.72
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $87.10 / $97.72
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $33.11 / $45.71
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $8.71 / $10.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29