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Michigan rates for HCPCS L3660

Shoulder Orthosis Figure Of Eight Design Abduction Restrainer Canvas And Webbing Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.70 / $162.44 / $198.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.50 / $64.70 / $73.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.56 / $84.98 / $84.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.50 / $341.70 / $622.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.64 / $113.31 / $152.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.65 / $113.31 / $168.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.65 / $147.30 / $158.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.80 / $70.80 / $74.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.68 / $94.21 / $164.06
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.88 / $162.44 / $198.67
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.87 / $81.88 / $127.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.75 / $83.85 / $96.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.26 / $56.02 / $81.09