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Michigan rates for HCPCS L3649

Orthopedic Shoe Modification Addition Or Transfer Not Otherwise Specified (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.36 / $80.93 / $98.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $11.00 / $16.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.44 / $81.29 / $146.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.38 / $26.72 / $36.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.36 / $80.93 / $98.98
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $213.44 / $213.44