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Michigan rates for HCPCS L6310

Shoulder Disarticulation Passive Restoration (Complete Prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,773.41 / $2,773.41 / $2,773.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,803.21 / $2,773.41 / $2,773.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,350.39 / $14,644.81 / $26,673.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,613.53 / $4,856.35 / $6,556.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,390.28 / $2,509.69 / $3,156.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,885.08 / $3,885.08 / $3,885.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,141.52 / $3,141.52 / $3,141.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,141.52 / $3,141.52 / $5,629.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,773.41 / $3,509.41 / $3,509.41
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,773.41 / $3,509.41 / $5,462.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,946.83 / $3,593.70 / $4,132.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.24 / $2,321.64 / $3,230.37