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Michigan rates for HCPCS L6630

Upper extremity addition, stainless steel, any wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.97 / $196.97 / $196.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.43 / $196.97 / $196.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.03 / $1,040.08 / $1,894.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.66 / $344.90 / $465.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.14 / $168.14 / $224.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.92 / $275.92 / $275.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.63 / $161.63 / $161.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.63 / $161.63 / $399.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.97 / $249.24 / $249.24
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.63 / $249.24 / $362.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.28 / $255.23 / $293.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.13 / $170.54 / $198.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.54 / $164.89 / $229.42