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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
$52.82 / $52.82 / $52.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.21 / $52.82 / $52.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.99 / $278.91 / $507.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.87 / $92.49 / $124.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.60 / $60.12 / $63.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.98 / $73.98 / $73.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.82 / $59.82 / $59.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.82 / $59.82 / $107.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.82 / $66.81 / $66.81
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $66.81 / $102.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.12 / $68.44 / $78.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.18 / $120.21 / $120.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.49 / $44.98 / $69.31