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Michigan rates for HCPCS L6915

Hand Restoration (Shading And Measurements Included) Replacement Glove For Above

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.92 / $558.92 / $558.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $558.92 / $558.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.34 / $2,951.40 / $5,375.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.77 / $978.71 / $1,321.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.40 / $597.16 / $636.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.97 / $782.97 / $782.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.36 / $644.36 / $644.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.36 / $644.36 / $1,134.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.92 / $707.26 / $707.26
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.92 / $707.26 / $1,027.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $347.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.51 / $467.88 / $651.02