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Michigan rates for HCPCS L6616

Upper Extremity Addition Additional Disconnect Insert For Locking Wrist Unit Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.46 / $44.46 / $44.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $44.46 / $50.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.83 / $234.76 / $427.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.95 / $77.84 / $105.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.60 / $55.40 / $67.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.28 / $62.28 / $62.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.36 / $50.36 / $50.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.36 / $50.36 / $90.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.46 / $56.26 / $56.26
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.46 / $56.26 / $81.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $57.61 / $66.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $38.84 / $60.06