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Michigan rates for HCPCS L6882

Microprocessor control feature, addition to upper limb prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,905.46 / $3,090.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $11,220.18 / $21,379.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $3,715.35 / $3,890.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,290.87 / $4,365.16
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $7,079.46 / $7,943.28
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,951.21 / $4,570.88
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,290.87 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $3,019.95 / $4,570.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,778.28 / $2,630.27