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Michigan rates for HCPCS L2795

Addition to lower extremity orthosis, knee control, full kneecap

Facilitymedian $126 · 10th–90th $56$3980%10%20%10th90th$126Professionalmedian $56 · 10th–90th $44$980%20%10th90th$56$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $52.48 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $295.12 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $104.71
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $63.10 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $63.10 / $117.49
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $186.21 / $208.93
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $79.43 / $120.23
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $63.10 / $63.10
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $67.61 / $107.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $81.28 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $46.77 / $70.79