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Michigan rates for HCPCS L7190

Electronic elbow, adolescent, Variety Village or equal, myoelectronically controlled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,785.16 / $5,785.16 / $5,785.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,820.97 / $5,785.16 / $5,785.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,332.46 / $30,548.18 / $55,638.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,623.54 / $10,130.04 / $13,675.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,022.22 / $6,097.73 / $6,584.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,104.04 / $8,104.04 / $8,104.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,553.03 / $6,553.03 / $6,553.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,553.03 / $6,553.03 / $11,743.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,785.16 / $7,320.45 / $7,320.45
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,785.16 / $7,320.45 / $11,393.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,371.80 / $7,496.24 / $8,620.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,769.60 / $4,842.82 / $7,250.29