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Michigan rates for HCPCS L3455

Heel, new leather, standard

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.01 / $28.01 / $28.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.27 / $28.01 / $28.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.23 / $147.88 / $269.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.59 / $49.04 / $66.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.12 / $31.88 / $32.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.22 / $39.22 / $39.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $27.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $40.78 / $71.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.01 / $35.45 / $35.45
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.01 / $35.45 / $51.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.84 / $36.29 / $41.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.11 / $23.03 / $34.65