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Michigan rates for HCPCS L3956

Addition Of Joint To Upper Extremity Orthosis Any Material; Per Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.66 / $17.66 / $17.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $17.66 / $51.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.80 / $718.86 / $1,309.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.46 / $238.38 / $321.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.75 / $164.75 / $164.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.66 / $17.66 / $17.66
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $17.66 / $52.80