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Michigan rates for HCPCS L6690

Upper extremity addition, frame type socket, interscapular-thoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.99 / $613.99 / $613.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.46 / $613.99 / $613.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,627.28 / $3,242.16 / $5,905.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.37 / $1,075.13 / $1,451.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.28 / $583.99 / $698.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.10 / $860.10 / $860.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.50 / $695.50 / $695.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.50 / $695.50 / $1,246.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.99 / $776.96 / $776.96
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.99 / $776.96 / $1,209.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.39 / $795.60 / $914.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.13 / $513.98 / $715.16