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Michigan rates for HCPCS L3410

Metatarsal bar wedge, between sole

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.88 / $63.88 / $63.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.06 / $63.88 / $63.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.29 / $337.29 / $614.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.26 / $111.85 / $151.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.95 / $72.70 / $73.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.48 / $89.48 / $89.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.72 / $66.72 / $66.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.72 / $66.72 / $129.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.88 / $80.83 / $80.83
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.52 / $80.83 / $117.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.35 / $82.77 / $95.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.04 / $52.53 / $80.05