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Michigan rates for HCPCS L4110

Replace leather cuff KAFO-AFO, calf or distal thigh

Facilitymedian $120 · 10th–90th $54–$3890%20%10th90th$120Professionalmedian $54 · 10th–90th $43–$950%20%10th90th$54$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
$53.70 / $53.70 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $52.48 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $288.40 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $100.00
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $53.70 / $77.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $181.97 / $204.17
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $77.62 / $117.49
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $77.62 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $45.71 / $70.79