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Michigan rates for HCPCS L6704

Terminal device, sport/recreational/work attachment, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.47 / $465.47 / $465.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.67 / $465.47 / $465.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.63 / $2,457.86 / $4,476.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.30 / $815.05 / $1,100.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.89 / $456.89 / $529.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.04 / $652.04 / $652.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.25 / $527.25 / $527.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.25 / $527.25 / $945.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.47 / $589.00 / $589.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.47 / $589.00 / $916.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.23 / $389.65 / $568.01