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Michigan rates for HCPCS L3460

Heel New Rubber Standard (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.64 / $23.64 / $23.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.61 / $23.64 / $23.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.64 / $124.82 / $227.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.32 / $41.39 / $55.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.23 / $26.90 / $27.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.09 / $23.09 / $23.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.09 / $23.09 / $48.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.64 / $29.91 / $29.91
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.12 / $29.91 / $43.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.03 / $30.63 / $35.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.43 / $19.43 / $29.62