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Michigan rates for HCPCS L3610

Transfer Of An Orthosis From One Shoe To Another Caliper Plate New (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.13 / $69.13 / $69.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.42 / $69.13 / $69.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.23 / $365.07 / $664.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.01 / $121.06 / $163.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.80 / $78.69 / $79.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.85 / $96.85 / $96.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.30 / $81.30 / $81.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.30 / $81.30 / $140.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.13 / $87.49 / $87.49
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.65 / $87.49 / $127.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.45 / $89.58 / $103.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.24 / $56.85 / $85.56