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Michigan rates for HCPCS L3370

Sole Wedge Between Sole (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.13 / $34.13 / $34.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.33 / $34.13 / $34.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.45 / $180.21 / $328.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.77 / $59.76 / $80.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.89 / $38.84 / $39.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.81 / $47.81 / $47.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.35 / $33.35 / $33.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.35 / $49.69 / $86.72
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.13 / $43.19 / $43.19
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.39 / $43.19 / $62.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.58 / $44.22 / $50.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.49 / $71.17 / $71.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.85 / $28.07 / $42.24