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Michigan rates for HCPCS L4002

Replacement strap, any orthosis, includes all components, any length, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $151.63 / $224.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.27 / $60.31 / $109.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $20.00 / $27.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $14.40 / $38.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $123.98 / $224.64
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $7.58 / $25.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.87 / $43.87 / $43.87