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Michigan rates for HCPCS L3420

Full sole and heel wedge, between sole

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.63 / $37.63 / $37.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.27 / $37.63 / $37.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.73 / $198.70 / $361.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.60 / $65.89 / $88.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.81 / $42.83 / $43.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.71 / $52.71 / $52.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.78 / $36.78 / $36.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.85 / $54.79 / $95.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.63 / $47.62 / $47.62
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.82 / $47.62 / $69.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.44 / $48.76 / $56.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.70 / $78.48 / $78.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.99 / $30.95 / $47.16