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Michigan rates for HCPCS L4394

Replace soft interface material, foot drop splint

Facilitymedian $25 · 10th–90th $11–$830%10%20%10th90th$25Professionalmedian $11 · 10th–90th $8–$210%20%10th90th$11$0.2$1.0$5.0$20.0$100.0

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
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $61.66 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $21.88
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $13.49 / $22.91
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $38.90 / $43.65
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $16.60 / $25.12
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $14.45 / $20.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $16.98 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $9.77 / $14.45