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Michigan rates for HCPCS L3260

Surgical boot/shoe, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.85 / $22.74 / $99.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.48 / $10.55 / $23.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.18 / $8.23 / $8.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.81 / $180.94 / $329.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.00 / $60.00 / $81.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $16.19 / $25.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.08 / $14.17 / $15.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.12 / $21.12 / $21.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.42 / $21.12 / $48.95
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.85 / $12.11 / $99.95
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.84 / $11.93 / $23.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.71 / $48.95 / $73.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.75 / $8.00 / $10.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $8.01 / $13.35