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Michigan rates for HCPCS L8480

Prosthetic Sock Single Ply Fitting Above Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $6.31 / $109.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.40 / $6.31 / $6.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.28 / $8.28 / $8.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.73 / $33.32 / $60.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $11.05 / $14.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.18 / $7.18 / $7.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.84 / $8.84 / $8.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.14 / $7.14 / $7.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.21 / $9.19 / $15.94
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $7.98 / $109.51
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.24 / $7.98 / $11.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $8.18 / $9.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $7.28 / $8.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $5.51 / $8.49