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Michigan rates for HCPCS L6632

Upper extremity addition, latex suspension sleeve, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $43.65 / $66.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $234.42 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $77.62 / $81.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $48.98 / $91.20
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $147.91 / $165.96
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $63.10 / $95.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $48.98 / $52.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $63.10 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $38.90 / $58.88