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Michigan rates for HCPCS L6689

Upper extremity addition, frame type socket, shoulder disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.51 / $521.51 / $521.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.65 / $521.51 / $521.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,382.16 / $2,753.79 / $5,015.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.52 / $913.18 / $1,232.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.66 / $535.91 / $593.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.54 / $730.54 / $730.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.92 / $649.92 / $649.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.92 / $649.92 / $1,058.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.51 / $659.90 / $659.90
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.51 / $659.90 / $1,027.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.11 / $675.75 / $777.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.22 / $436.56 / $645.40