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Michigan rates for HCPCS L3450

Heel, SACH cushion type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.61 / $72.61 / $72.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.34 / $72.61 / $72.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.45 / $383.43 / $698.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.79 / $127.15 / $171.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.70 / $82.65 / $83.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $101.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.98 / $70.98 / $70.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.38 / $70.98 / $147.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.61 / $91.89 / $91.89
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.61 / $91.89 / $133.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.97 / $94.09 / $108.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.38 / $59.71 / $91.01