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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
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.08 / $11.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $11.75 / $11.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $44.67 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.79 / $15.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $8.71 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $9.55 / $17.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $28.18 / $31.62
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $11.75 / $18.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.55
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $9.55 / $10.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $12.02 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $7.08 / $10.47