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Michigan rates for HCPCS L4080

Replace metal bands KAFO, proximal thigh

Facilitymedian $151 · 10th–90th $65–$4790%10%20%10th90th$151Professionalmedian $68 · 10th–90th $52–$1200%20%10th90th$68$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $91.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $363.08 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $125.89
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $67.61 / $95.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $229.09 / $257.04
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $95.50 / $147.91
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $97.72 / $154.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $56.23 / $85.11