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Michigan rates for HCPCS L6691

Upper extremity addition, removable insert, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.36 / $242.36 / $569.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.22 / $242.36 / $268.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.34 / $1,279.79 / $2,330.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.17 / $424.39 / $572.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.29 / $275.85 / $340.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.51 / $339.51 / $339.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.52 / $274.52 / $274.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.52 / $274.52 / $492.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.36 / $306.68 / $569.32
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.36 / $306.68 / $469.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.52 / $314.05 / $361.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.25 / $206.69 / $318.51