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Michigan rates for HCPCS L4398

Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.15 / $53.15 / $53.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.13 / $53.15 / $53.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.06 / $93.06 / $93.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.85 / $280.63 / $511.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.41 / $93.06 / $125.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.05 / $60.49 / $60.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.45 / $74.45 / $74.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.56 / $56.56 / $64.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.56 / $56.56 / $108.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.15 / $67.27 / $67.27
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.85 / $67.27 / $97.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.46 / $68.86 / $79.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.51 / $43.71 / $66.62