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Michigan rates for HCPCS L7191

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $7,762.47 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $6,606.93 / $10,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $40,738.03 / $77,624.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,882.50 / $13,489.63 / $14,125.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $7,244.36 / $7,244.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $8,709.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $8,709.64 / $15,848.93
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $25,703.96 / $28,840.32
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $10,715.19 / $16,595.87
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $8,709.64
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $8,709.64 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $10,715.19 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $6,309.57 / $9,120.11