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Michigan rates for HCPCS L5460

Immediate Post Surgical Or Early Fitting Application Of Non- Weight Bearing Rigid Dressing Above Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.66 / $427.66 / $427.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.43 / $427.66 / $427.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.42 / $2,258.19 / $4,112.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.40 / $748.84 / $1,010.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.53 / $486.75 / $493.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.07 / $599.07 / $599.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.42 / $484.42 / $484.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.42 / $484.42 / $868.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.66 / $541.15 / $541.15
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.66 / $541.15 / $829.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $234.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.08 / $358.00 / $529.24