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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
$44.53 / $44.53 / $44.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.08 / $44.53 / $44.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.03 / $235.16 / $428.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.08 / $77.98 / $105.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.69 / $56.08 / $58.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.38 / $62.38 / $62.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.73 / $48.73 / $48.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.73 / $48.73 / $90.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.53 / $56.35 / $56.35
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.53 / $56.35 / $87.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.97 / $39.97 / $39.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.42 / $38.90 / $59.95