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Michigan rates for HCPCS L3912

Hand-finger orthosis (HFO), flexion glove with elastic finger control, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.98 / $65.98 / $65.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.74 / $65.98 / $67.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.86 / $348.39 / $634.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.75 / $115.53 / $155.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.87 / $75.09 / $83.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.42 / $92.42 / $92.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.37 / $66.37 / $66.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.37 / $66.37 / $133.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.98 / $83.48 / $83.48
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.98 / $83.48 / $121.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.10 / $85.49 / $98.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.84 / $54.25 / $82.69