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Michigan rates for HCPCS L5682

Addition To Lower Extremity Below Knee Thigh Lacer Gluteal/Ischial Molded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.67 / $428.67 / $428.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.51 / $428.67 / $486.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,136.10 / $2,263.57 / $4,122.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.09 / $750.62 / $1,013.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.90 / $487.90 / $487.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.50 / $600.50 / $600.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.57 / $485.57 / $485.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.57 / $485.57 / $870.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.67 / $542.42 / $542.42
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.67 / $542.42 / $788.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.47 / $555.46 / $638.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.06 / $373.64 / $577.04