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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
$181.06 / $181.06 / $181.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.80 / $181.06 / $181.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.88 / $956.10 / $1,741.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.20 / $317.05 / $428.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.08 / $206.08 / $222.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.64 / $253.64 / $253.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.09 / $205.09 / $205.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.39 / $205.09 / $263.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.06 / $229.12 / $229.12
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.06 / $229.12 / $332.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.38 / $234.62 / $269.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.85 / $156.76 / $226.92