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Michigan rates for HCPCS L3982

Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.99 / $492.80 / $551.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.49 / $245.99 / $271.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.74 / $430.74 / $430.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.95 / $1,298.94 / $2,365.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.20 / $430.74 / $581.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.51 / $273.69 / $279.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.59 / $344.59 / $344.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.02 / $264.44 / $264.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.02 / $264.44 / $499.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.26 / $492.80 / $551.77
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $311.26 / $464.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.37 / $318.75 / $366.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.76 / $205.32 / $308.27