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Michigan rates for HCPCS L6300

Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.20 / $3,060.20 / $3,060.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,358.36 / $3,060.20 / $3,060.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,110.47 / $16,159.18 / $29,431.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,090.60 / $5,358.53 / $7,234.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,906.57 / $2,906.57 / $3,483.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,286.82 / $4,286.82 / $4,286.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,813.78 / $3,813.78 / $3,813.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,813.78 / $3,813.78 / $6,212.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.20 / $3,872.33 / $3,872.33
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,060.20 / $3,872.33 / $5,626.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,251.55 / $3,965.31 / $4,560.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,859.05 / $2,561.71 / $3,835.22