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Michigan rates for HCPCS L6655

Upper extremity addition, standard control cable, extra

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $48.98 / $81.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $275.42 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $93.33 / $97.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $60.26 / $107.15
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $173.78 / $194.98
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $74.13 / $112.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $60.26 / $63.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $74.13 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $44.67 / $69.18