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Michigan rates for HCPCS L3766

Elbow Wrist Hand Finger Orthosis Includes One Or More Nontorsion Joints Elastic Bands Turnbuckles May Include Soft Interface Straps Customfabri Cated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.29 / $850.29 / $850.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.29 / $850.29 / $850.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,253.54 / $4,489.93 / $8,177.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,414.46 / $1,488.90 / $2,010.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.57 / $967.79 / $973.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.11 / $1,191.11 / $1,191.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.10 / $831.10 / $831.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.10 / $831.10 / $1,726.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.29 / $1,075.93 / $1,075.93
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.29 / $1,075.93 / $1,674.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.54 / $699.19 / $1,052.38