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Michigan rates for HCPCS L4070

Replace proximal and distal upright for KAFO

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $177.83 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $954.99 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $316.23 / $331.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $204.17 / $371.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $602.56 / $676.08
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $257.04 / $389.05
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $204.17 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $251.19 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $151.36 / $229.09