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Michigan rates for HCPCS L2006

Knee Ankle Foot Device Any Material Single Or Double Upright Swing And/Or Stance Phase Microprocessor Control With Adjustability Includes All Components (E.G. Sensors Batteries Charger) Any Type Activation With Or Without Ankle Joint(S) Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,136.92 / $22,136.92 / $22,136.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,542.98 / $22,136.92 / $23,121.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,762.62 / $38,762.62 / $38,762.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36,824.50 / $38,762.62 / $52,329.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,588.34 / $25,094.11 / $25,195.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31,010.10 / $31,010.10 / $31,010.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31,019.05 / $44,937.75 / $56,172.19
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,136.92 / $28,171.79 / $28,171.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,136.92 / $28,171.79 / $40,700.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,905.66 / $20,365.15 / $33,941.91