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Michigan rates for HCPCS L6698

Addition To Upper Extremity Prosthesis Below Elbow/Above Elbow Lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.95 / $340.95 / $340.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.16 / $340.95 / $340.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.63 / $1,800.37 / $3,279.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.16 / $597.02 / $805.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.06 / $388.06 / $448.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.62 / $477.62 / $477.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.20 / $386.20 / $386.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.93 / $496.41 / $865.31
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.95 / $431.43 / $431.43
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.95 / $431.43 / $686.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.52 / $441.79 / $508.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.21 / $285.41 / $458.97