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Michigan rates for HCPCS L8040

Nasal prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,538.28 / $1,709.20 / $1,709.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.37 / $1,538.28 / $1,709.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,529.93 / $9,025.36 / $16,438.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,843.25 / $2,992.89 / $4,040.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.80 / $1,848.11 / $1,952.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.72 / $2,274.59 / $2,394.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,373.71 / $2,373.71 / $2,373.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,999.75 / $2,373.71 / $3,469.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,709.20 / $2,162.78 / $2,162.78
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.28 / $2,162.78 / $3,366.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.46 / $1,430.78 / $2,113.41