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Michigan rates for HCPCS L6100

Below elbow, molded socket, flexible elbow hinge, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,734.25 / $1,734.25 / $1,734.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.30 / $1,734.25 / $1,734.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,596.28 / $9,157.56 / $16,678.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.89 / $3,036.73 / $4,099.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,501.49 / $1,501.49 / $1,973.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.38 / $2,429.38 / $2,429.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,964.43 / $1,964.43 / $1,964.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,964.43 / $1,964.43 / $3,520.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,734.25 / $2,194.48 / $2,194.48
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,718.24 / $2,194.48 / $3,188.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,842.68 / $2,247.17 / $2,584.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.36 / $1,451.75 / $2,029.06