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Michigan rates for HCPCS L6050

Wrist Disarticulation Molded Socket Flexible Elbow Hinges Triceps Pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.74 / $1,713.74 / $1,713.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.48 / $1,713.74 / $1,713.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,541.93 / $9,049.27 / $16,481.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,850.78 / $3,000.82 / $4,051.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,482.00 / $1,482.00 / $1,950.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,400.66 / $2,400.66 / $2,400.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.68 / $1,424.68 / $1,424.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.02 / $2,495.13 / $4,348.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.74 / $2,168.53 / $2,168.53
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,693.40 / $2,168.53 / $3,150.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,820.90 / $2,220.61 / $2,553.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.89 / $1,434.58 / $1,996.10