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Michigan rates for HCPCS L8420

Prosthetic Sock Multiple Ply Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.38 / $14.38 / $992.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.06 / $14.38 / $14.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.89 / $25.18 / $25.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.11 / $75.93 / $138.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.92 / $25.18 / $33.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.98 / $16.37 / $19.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.14 / $20.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.29 / $16.29 / $16.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $20.94 / $36.56
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.19 / $214.81 / $992.63
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.06 / $18.19 / $28.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.27 / $18.63 / $21.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.45 / $31.12 / $31.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.71 / $12.04 / $18.02