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Michigan rates for HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $354.81 / $512.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $489.78 / $691.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $2,089.30 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $691.83 / $724.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $457.09 / $812.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,318.26 / $1,479.11
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $524.81 / $851.14
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $457.09 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $549.54 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $331.13 / $478.63