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Michigan rates for HCPCS L8465

Prosthetic Shrinker Upper Limb Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.22 / $42.22 / $42.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.72 / $42.22 / $42.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.90 / $222.94 / $406.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.23 / $73.93 / $99.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.03 / $48.05 / $50.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.14 / $59.14 / $59.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.25 / $37.25 / $37.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.25 / $37.25 / $85.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.22 / $53.43 / $53.43
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.04 / $53.43 / $77.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.86 / $54.71 / $62.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.34 / $35.35 / $49.18