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Michigan rates for HCPCS L3530

Orthopedic Shoe Addition Sole Half (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $21.88 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.99 / $115.53 / $210.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.39 / $38.31 / $51.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.28 / $24.90 / $25.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.65 / $30.65 / $30.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.64 / $25.64 / $25.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.36 / $25.64 / $44.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $27.67 / $27.67
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $27.67 / $40.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.09 / $28.35 / $32.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.36 / $17.98 / $27.07