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Michigan rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Facilitymedian $74 · 10th–90th $35–$2450%20%10th90th$74Professionalmedian $33 · 10th–90th $26–$620%20%10th90th$33$0.1$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $32.36 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $186.21 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $64.57
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $36.31 / $67.61
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $117.49 / $128.82
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $48.98 / $75.86
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $38.90 / $61.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $50.12 / $74.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $28.84 / $43.65