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Michigan rates for HCPCS L8485

Prosthetic sock, single ply, fitting, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.49 / $8.49 / $8.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.82 / $8.49 / $8.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $45.24 / $81.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.87 / $20.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.68 / $9.02 / $9.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.90 / $11.90 / $11.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.63 / $9.63 / $9.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.63 / $9.63 / $17.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.49 / $10.75 / $10.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.28 / $10.75 / $16.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $11.00 / $12.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.55 / $7.11 / $10.65