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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
$2,138.01 / $2,138.01 / $2,138.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,781.68 / $2,138.01 / $2,138.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,666.39 / $11,289.62 / $20,562.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,556.55 / $3,743.74 / $5,054.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,375.09 / $2,433.42 / $2,446.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,994.99 / $2,994.99 / $2,994.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.80 / $2,264.80 / $2,264.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,264.80 / $2,264.80 / $4,340.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,138.01 / $2,705.40 / $2,705.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,138.01 / $2,705.40 / $4,210.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.40 / $1,789.75 / $2,646.19