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Michigan rates for HCPCS L6205

Elbow Disarticulation Molded Socket With Expandable Interface Outside Locking Hinges Forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,110.97 / $3,110.97 / $3,110.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,625.09 / $3,110.97 / $3,110.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,245.03 / $16,427.27 / $29,919.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,175.06 / $5,447.43 / $7,354.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,840.99 / $3,540.83 / $3,546.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,357.93 / $4,357.93 / $4,357.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.90 / $3,523.90 / $3,523.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,523.90 / $3,523.90 / $6,315.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,110.97 / $3,936.58 / $3,936.58
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,110.97 / $3,936.58 / $6,126.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,305.50 / $4,031.10 / $4,635.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,817.10 / $2,604.21 / $3,634.20